Individual
JAVARIS LAMAR SUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6611 OWLS HEAD DR, APT P, INDIANAPOLIS, IN 46217-8756
(260) 804-3637
Mailing address
6611 OWLS HEAD DR, APT P, INDIANAPOLIS, IN 46217-8756
(260) 804-3637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201116530A
—
IN
Enumeration date
10/31/2014
Last updated
10/31/2014
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