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NPI Code Detail

MEDICARE: SARAH LYNN COOK

MEDICARE: SARAH LYNN COOK
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1235084492
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LYNN COOK
Provider Business Mailing Address
First Line : 665 N GILBERT RD STE 152
Second Line :
City : GILBERT
State : AZ
Zip : 85234-3395
Country : US
Telephone Number : 480-977-1093
Fax Number :
Provider Business Practice Location Address
First Line : 665 N GILBERT RD STE 152
Second Line :
City : GILBERT
State : AZ
Zip : 85234-3395
Country : US
Telephone Number : 480-977-1093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ SARAH LYNN COOK ” Practice Location

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