Individual
SARAH THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W 23RD ST BLDG H, PANAMA CITY, FL 32405
(850) 747-5411
Mailing address
700 W 23RD ST BLDG H, PANAMA CITY, FL 32405-3936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/09/2018
Last updated
03/29/2019
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