Provider Demographics
NPI:1891021333
Name:EFFLER, SUSAN (MC SPECIAL EDUCATION)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:EFFLER
Suffix:
Gender:F
Credentials:MC SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18279 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2065
Mailing Address - Country:US
Mailing Address - Phone:720-581-8498
Mailing Address - Fax:
Practice Address - Street 1:18279 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2065
Practice Address - Country:US
Practice Address - Phone:720-581-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2009-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst