Healthcare Provider Details

I. General information

NPI: 1184882375
Provider Name (Legal Business Name): SARAH A LUGER MRC, CRC, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2008
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 BRICK CHURCH PIKE
NASHVILLE TN
37207-2800
US

IV. Provider business mailing address

3203 BRICK CHURCH PIKE
NASHVILLE TN
37207-2800
US

V. Phone/Fax

Practice location:
  • Phone: 615-262-7822
  • Fax: 615-262-7823
Mailing address:
  • Phone: 615-262-7822
  • Fax: 615-262-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1-06-2638
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-06-2638
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: