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NPI Code Detail

MEDICARE: SARAH RUTH HAWKINS ED.D., BCBA-D, LBA

MEDICARE: SARAH RUTH HAWKINS ED.D., BCBA-D, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst260711KY

General Provider Information

NPI Number : 1407046410
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RUTH HAWKINS ED.D., BCBA-D, LBA
Provider Business Mailing Address
First Line : 112 DENNIS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-2988
Country : US
Telephone Number : 859-552-6954
Fax Number :
Provider Business Practice Location Address
First Line : 112 DENNIS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-2988
Country : US
Telephone Number : 859-552-6954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 04/03/2020

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