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NPI Code Detail

MEDICARE: SARAH HERRICK

MEDICARE: SARAH HERRICK
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
1171400000XHealth & Wellness CoachBD97A81DE5CA
2103K00000XBehavior Analyst11313993CA

General Provider Information

NPI Number : 1174901656
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HERRICK
Provider Business Mailing Address
First Line : 550 OASIS DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-7717
Country : US
Telephone Number : 707-485-2589
Fax Number :
Provider Business Practice Location Address
First Line : 7165 BURTON AVE
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-3316
Country : US
Telephone Number : 707-485-2589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 01/07/2026

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