Sarah Rose Lawler

Individual provider Active NPI Behavior Technician · Ithaca, MI

NPI 1306405295 · NPPES record last updated Jun 13, 2019

Key facts

NPI
1306405295
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1326 E Center St
Ithaca, MI 48847-1619
Phone
(269) 389-0265
NPI assigned
Jun 13, 2019
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1326 E Center St
Ithaca, MI 48847-1619

Mailing address

1326 E Center St
Ithaca, MI 48847-1619
Phone (269) 389-0265

Other providers in Ithaca, MI

All providers in Ithaca, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.