Healthcare Provider Details

I. General information

NPI: 1255797544
Provider Name (Legal Business Name): MS. SARAH SPRING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2016
Last Update Date: 11/11/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 ROYAL OAKS DR
SACRAMENTO CA
95815-3868
US

IV. Provider business mailing address

6560 LONETREE BLVD STE 100
ROCKLIN CA
95765-5891
US

V. Phone/Fax

Practice location:
  • Phone: 916-668-0224
  • Fax:
Mailing address:
  • Phone: 866-523-4268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: