Individual
EVAN SUGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SWT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
RBT-23-282915
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2023
Last updated
09/19/2025
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