Suffuse Therapy

NPI #1063994184 in Lakewood, New Jersey

Provider Information

NPI Number: 1063994184
Entity Type: Organization
Organization Name: Suffuse Therapy
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 5, 2018
Last Updated: Apr 10, 2019

Practice Location

Address: 701 CROSS ST
City: Lakewood
State: New Jersey
ZIP Code: 08701-4029
Phone: (732) 267-5226

Authorized Official

Name: MR. SEAN NUSSBAUM
Title: OWNER
Phone: (732) 930-1255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker - School — School	1041S0200X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Speech-Language Pathologist	235Z00000X
Behavior Analyst	103K00000X	Primary

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