Most Relevant Information
Provider Data
| NPI Number: | 1003637141 |
| Provider Name: | SUSAN SORRENTINO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-353719 |
Most Important Dates
| Enumeration Date: | 10/22/2024 |
| Last Updated: | 10/22/2024 |
Provider Practice Location
1349 MORNINGVIEW CT
SCHERERVILLE
IN
463751285
Practice Location Phone/Fax
| Phone: | 2197651497 |
| Fax: |
Provider Mailing Location
1349 MORNINGVIEW CT
SCHERERVILLE
IN
463751285
Provider Mailing Phone/Fax
| Phone: | 2197651497 |
| Fax: |