MEDICARE: SARAH DALTON

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
1	106S00000X	Behavior Technician	RBT-24-367398	NC

General Provider Information

NPI Number	:	1851122105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DALTON

Provider Business Mailing Address
First Line	:	1750 ACORN RIDGE RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-9447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 ACORN RIDGE RD
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-9447
Country	:	US
Telephone Number	:	919-763-4653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2024
Last Update Date	:	08/13/2024

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Directions to “ SARAH DALTON ” Practice Location

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