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NPI Code Detail

MEDICARE: SARA WRIGHT BCBA

MEDICARE: SARA WRIGHT BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-20-45610OH

General Provider Information

NPI Number : 1164878658
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA WRIGHT BCBA
Provider Business Mailing Address
First Line : 129 YALE PL
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-3621
Country : US
Telephone Number : 614-704-1090
Fax Number :
Provider Business Practice Location Address
First Line : 2329 E WT HARRIS BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5186
Country : US
Telephone Number : 704-529-9090
Fax Number : 704-529-9009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2016
Last Update Date : 04/29/2025

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