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NPI Code Detail

MEDICARE: SARAH SYDOR

MEDICARE: SARAH SYDOR
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 : 1518571678
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SYDOR
Provider Business Mailing Address
First Line : 6167 MARCY ST
Second Line :
City : BRIGHTON
State : MI
Zip : 48116-2110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3917 RESEARCH PARK DR STE B1A
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-2229
Country : US
Telephone Number : 734-794-2930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2020
Last Update Date : 09/04/2020

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Directions to “ SARAH SYDOR ” Practice Location

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