Active NPI
Sarah Fuder, RBT
- Behavior Analyst
- Tacoma, WA
National Provider Identifier
1104200708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 218 S 38TH St
Tacoma, WA 98418-7807 - Phone
- (206) 313-8840
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
218 S 38TH St
Tacoma, WA 98418-7807
Mailing address
2602 Westridge Ave W Apt F206
Tacoma, WA 98466-8248
Phone (608) 630-4555
Other practice location 1
13400 NE 20th St
47
Bellevue, WA 98005-2099
Phone (206) 437-5412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111524501 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104200708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 WESTRIDGE AVE W APT F206",
"city": "TACOMA",
"state": "WA",
"postal_code": "984668248",
"telephone_number": "608-630-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S 38TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187807",
"telephone_number": "206-313-8840"
}
],
"practiceLocations": [
{
"address_1": "13400 NE 20th St",
"address_2": "47",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052099",
"country_code": "US",
"telephone_number": "206-437-5412",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUDER",
"first_name": "SARAH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111524501",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.