Healthcare Provider Details

I. General information

NPI: 1922935451
Provider Name (Legal Business Name): SARAH HERSHBERGER CBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 WILLAMETTE DR NE STE A
LACEY WA
98516-1378
US

IV. Provider business mailing address

19134 JOSELYN ST SW
ROCHESTER WA
98579-9217
US

V. Phone/Fax

Practice location:
  • Phone: 360-878-6434
  • Fax:
Mailing address:
  • Phone: 541-419-5361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB.70126527
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: