Individual
SARAH ELIZABETH GOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
633 E PIONEER AVE STE B, MONTESANO, WA 98563-4700
(800) 781-5536
Mailing address
633 E PIONEER AVE STE B, MONTESANO, WA 98563-4700
(509) 232-9858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61290029
WA
106E00000X
Assistant Behavior Analyst
61104226
WA
106S00000X
Behavior Technician
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20200921691218
—
WA
Enumeration date
05/21/2018
Last updated
08/11/2022
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