Provider Demographics
NPI:1437948049
Name:MCDONALD, SUSAN (BCBA)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 FARM SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9530
Mailing Address - Country:US
Mailing Address - Phone:215-378-3662
Mailing Address - Fax:
Practice Address - Street 1:3143 FARM SCHOOL RD
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9530
Practice Address - Country:US
Practice Address - Phone:215-378-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006911103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst