Healthcare Provider Details

I. General information

NPI: 1518458090
Provider Name (Legal Business Name): SARAH ROSE KUSMER M. ED, BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 W CENTER ST
WEST BRIDGEWATER MA
02379-1623
US

IV. Provider business mailing address

165 GOLDFINCH DR
RAYNHAM MA
02767-6136
US

V. Phone/Fax

Practice location:
  • Phone: 781-290-3886
  • Fax:
Mailing address:
  • Phone: 617-285-3228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: