MEDICARE: SARA TROWBRIDGE 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
1	103K00000X	Behavior Analyst		SC

General Provider Information

NPI Number	:	1871081026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA TROWBRIDGE BCBA

Provider Business Mailing Address
First Line	:	122 SAVANNAH LN
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-2354
Country	:	US
Telephone Number	:	803-235-3651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 WADE HAMPTON BLVD STE E
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1110
Country	:	US
Telephone Number	:	803-235-3651
Fax Number	:

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

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	09/03/2025

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Directions to “ SARA TROWBRIDGE BCBA” Practice Location

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