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NPI Code Detail

MEDICARE: SARA COULE

MEDICARE: SARA COULE
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
1106S00000XBehavior TechnicianRBT-26-517504GA

General Provider Information

NPI Number : 1982558789
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA COULE
Provider Business Mailing Address
First Line : 1212 AUGUSTA WEST PKWY STE 1B
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-1808
Country : US
Telephone Number : 706-826-2770
Fax Number : 706-826-2771
Provider Business Practice Location Address
First Line : 1212 AUGUSTA WEST PKWY STE 1B
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-1808
Country : US
Telephone Number : 706-842-5330
Fax Number : 706-842-5340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 06/09/2026

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Directions to “ SARA COULE ” Practice Location

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