Individual
MYA SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 ENLOE ST STE 103, HUDSON, WI 54016-4539
(715) 808-8555
Mailing address
1792 BENNETT ST, RIVER FALLS, WI 54022-4875
(507) 951-8883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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