Individual
SARAH PROCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-8315
(614) 355-8361
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-15030
IL
103K00000X
Behavior Analyst
Primary
1-13-15030
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
08/06/2007
Last updated
04/07/2015
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