Provider Demographics
NPI:1932359361
Name:NOE, SUE R (BCBA)
Entity type:Individual
Prefix:DR
First Name:SUE
Middle Name:R
Last Name:NOE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2737
Mailing Address - Country:US
Mailing Address - Phone:239-410-4544
Mailing Address - Fax:248-380-9417
Practice Address - Street 1:1501 NE 1ST ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2737
Practice Address - Country:US
Practice Address - Phone:239-410-4544
Practice Address - Fax:248-380-9417
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities