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NPI Code Detail

MEDICARE: SARA ELIZABETH CADENHEAD

MEDICARE:   SARA ELIZABETH CADENHEAD
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 Analyst1-19-36306FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649715996
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ELIZABETH CADENHEAD
Provider Business Mailing Address
First Line : 4620 N STATE ROAD 7 STE 300
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5867
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40 STATE HIGHWAY 83
Second Line :
City : DEFUNIAK SPRINGS
State : FL
Zip : 32433-7404
Country : US
Telephone Number : 850-585-9189
Fax Number : 850-951-0898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2016
Last Update Date : 04/07/2025

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Directions to “ SARA ELIZABETH CADENHEAD ” Practice Location

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