Provider Demographics
NPI:1871392266
Name:SWITZER, KARUSHKA
Entity type:Individual
Prefix:
First Name:KARUSHKA
Middle Name:
Last Name:SWITZER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 CIRCLE RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:STURGEON BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54235-1608
Mailing Address - Country:US
Mailing Address - Phone:203-252-4960
Mailing Address - Fax:
Practice Address - Street 1:745 CIRCLE RIDGE PL
Practice Address - Street 2:
Practice Address - City:STURGEON BAY
Practice Address - State:WI
Practice Address - Zip Code:54235-1608
Practice Address - Country:US
Practice Address - Phone:203-252-4960
Practice Address - Fax:203-252-4960
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician