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Individual

RENEE SABINA SUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.T., BCBA

Contact information

Practice address
5762 BOLSA AVE STE 100, HUNTINGTON BEACH, CA 92649-1172
(714) 292-2322
(714) 587-5602
Mailing address
19451 RIVERDALE LN, HUNTINGTON BEACH, CA 92648-5529
(714) 335-0517

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1073262
MD

Other

Enumeration date
06/18/2007
Last updated
06/01/2023
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