Healthcare Provider Details

I. General information

NPI: 1700706579
Provider Name (Legal Business Name): SARAH ELIZABETH DANIELS RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 DOUBLE CHURCHES RD
COLUMBUS GA
31909-2742
US

IV. Provider business mailing address

1301 21ST ST
PHENIX CITY AL
36867-4319
US

V. Phone/Fax

Practice location:
  • Phone: 706-507-9178
  • Fax:
Mailing address:
  • Phone: 774-804-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2830911
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: