Sarah Bacon, RBT
Individual provider Active NPI Behavior Analyst · Columbia, SC
NPI 1144798802 · NPPES record last updated Nov 10, 2018
Key facts
- NPI
- 1144798802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1505 Blanding St
Columbia, SC 29201-2906 - Phone
- (803) 929-0011
- NPI assigned
- Nov 10, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
1505 Blanding St
Columbia, SC 29201-2906
Mailing address
1601 Main St Apt 309
Columbia, SC 29201-2857
Other providers in Columbia, SC
- Back to You Chiropractic
- Quotisha Backey
- Susan P. Backman
- Jasmine Charlene Backmon
- Constance Bacon
- Brittany Bacot
- Nnenna Ukachi Badamosi
- Ahmad Bader
- Farzana Badrun
- Sharon Baechtold
All providers in Columbia, SC · Behavior Analyst in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2018. 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.