Conner Andrew Sutherland
Behavior Technician in Kennett, MO. Individual provider (NPI-1).
NPI number1932016607
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1932016607
- Entity type
- Individual (NPI-1)
- Name
- Conner Andrew Sutherland
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2026
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
410 Teaco RdKennett, MO 63857-3239
Phone 870-565-9776
Mailing address
1 Highway 139Rector, AR 72461-8059
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