Healthcare Provider Details

I. General information

NPI: 1720550536
Provider Name (Legal Business Name): KARA LYNN SAWYER BCBA, LABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 WILLOW ST. STE 266
MANCHESTER NH
03103
US

IV. Provider business mailing address

373 WILLOW ST. STE 266
MANCHESTER NH
03103
US

V. Phone/Fax

Practice location:
  • Phone: 877-315-8080
  • Fax:
Mailing address:
  • Phone: 877-315-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLABA4007
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-46021
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: