Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juliana Ward Suppa

Individual provider Specialist · NPI 1679096069

Juliana Ward Suppa is a Specialist in Moorhead, Minnesota. Licensed in North Dakota. Registered with an NPI since 2017.

Licensed in
ND
In the registry since
2017
Specialties on file
2

Practice location Address checks out

891 Belsly Blvd
Moorhead, MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-37173 (ND)
Specialist Taxonomy 174400000X

Record details

NPI number1679096069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 16, 2021
Mailing address891 Belsly Blvd, Moorhead, MN 56560-5055

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