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NPI Code Detail

MEDICARE: SARA ROSE WHITE BCBA

MEDICARE: SARA ROSE WHITE 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 Analyst3681NC

General Provider Information

NPI Number : 1508730342
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ROSE WHITE BCBA
Provider Business Mailing Address
First Line : 1410 FIRST EDITION DR UNIT 2919
Second Line :
City : DURHAM
State : NC
Zip : 27703-0980
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3610 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7511
Country : US
Telephone Number : 984-204-1233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2025
Last Update Date : 02/12/2026

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Directions to “ SARA ROSE WHITE BCBA” Practice Location

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