Sarah Marie Brink
Individual provider Active NPI Behavior Technician · Watertown, WI
NPI 1043887102 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1043887102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-170422 (IL)
- Practice address
- 600 Hoffmann Dr
Watertown, WI 53094-6223 - Phone
- (920) 206-4505
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-170422 | IL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-170422 | IL | Yes |
Addresses
Primary practice location
600 Hoffmann Dr
Watertown, WI 53094-6223
Mailing address
600 Hoffmann Dr
Watertown, WI 53094-6223
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sarah.brink@bethesdalc.org | Direct |
Other providers in Watertown, WI
- Lisa Brauer
- Eric Joseph Braum
- Brooke Bresser
- Rick James Brewer
- Brigido C Calado MD SC
- Broadstep-Wisconsin, Inc.
- Broadstep-Wisconsin, Inc.
- Broadstep-Wisconsin, Inc.
- Broadstep-Wisconsin, Inc.
- Broadstep-Wisconsin, Inc.
All providers in Watertown, WI · Behavior Technician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.