Healthcare Provider Details

I. General information

NPI: 1023624525
Provider Name (Legal Business Name): SARAH ELIZABETH BRUMFIELD BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2020
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 MILLBRANCH RD STE 40
HATTIESBURG MS
39402-1673
US

IV. Provider business mailing address

29 PARK PL APT 815
HATTIESBURG MS
39402-1566
US

V. Phone/Fax

Practice location:
  • Phone: 601-255-5264
  • Fax:
Mailing address:
  • Phone: 228-860-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number220052
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: