Susan Louise Humphrey, LBA

NPI #1417456922 in Galax, Virginia

Provider Information

NPI Number: 1417456922
Entity Type: Individual
Name: Susan Louise Humphrey, LBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: LBA
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 106 CALHOUN ST
City: Galax
State: Virginia
ZIP Code: 24333-3840
Phone: (276) 238-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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