MEDICARE: SARAH MELANDON FOULDS

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1538832084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MELANDON FOULDS

Provider Business Mailing Address
First Line	:	7143 STONEWALL PKWY
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-1158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7143 STONEWALL PARKWAY
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111
Country	:	US
Telephone Number	:	804-557-0881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	03/05/2026

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