Individual
SARAH NICOLE ZUBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10820 COLDWATER RD, FORT WAYNE, IN 46845-1241
(260) 755-1438
(260) 338-2523
Mailing address
10820 COLDWATER RD, FORT WAYNE, IN 46845-1241
(260) 755-1438
(260) 338-2523
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33458
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33458
BACB
IN
Enumeration date
01/15/2019
Last updated
01/15/2019
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