Healthcare Provider Details

I. General information

NPI: 1962985242
Provider Name (Legal Business Name): SARAH BUTTERWORTH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 PEAK ONE DRIVE SUITE 100
FRISCO CO
80443-8044
US

IV. Provider business mailing address

PO BOX 4337
FRISCO CO
80443-4337
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-4040
  • Fax:
Mailing address:
  • Phone: 970-668-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009924143
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberRBT-18-56626
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0009924143
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: