Sara Marie Daugherty
Individual provider Active NPI Behavior Technician · Grayling, MI
NPI 1528829603 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1528829603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2400 I-75BL
Grayling, MI 49738 - Phone
- (231) 268-0007
- NPI assigned
- Jan 17, 2024
- 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 Technician | 106S00000X | Yes |
Addresses
Primary practice location
2400 I-75BL
Grayling, MI 49738
Mailing address
524 E Mitchell St
Gaylord, MI 49735-1621
Other providers in Grayling, MI
- Katherine Cutright
- Garrick R. Cvitkovich
- Patsy Ann Daly
- Bruce Daman
- Orland William Dami
- Mark William Davey
- Rachel Dawson
- Dean & Aubry Optometrists PC
- William I Dean
- Brigid Deleo
All providers in Grayling, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. 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.