Healthcare Provider Details

I. General information

NPI: 1104413228
Provider Name (Legal Business Name): SARAH PRICE M.A., BCBA, COBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH RADEFF M.A., BCBA, COBA

II. Dates (important events)

Enumeration Date: 12/22/2020
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6960 S EDGERTON RD
BRECKSVILLE OH
44141-3184
US

IV. Provider business mailing address

11421 STORMES DR
PARMA HEIGHTS OH
44130-7730
US

V. Phone/Fax

Practice location:
  • Phone: 440-241-8366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-42131
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCOBA.00786
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: