Individual
MRS. SARA N O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
6563 HAMPTON PL APT 2, FORT RILEY, KS 66442
(785) 307-4196
Mailing address
PO BOX 714, JENISON, MI 49429-0714
(785) 477-6793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-07-3402
BACB
—
Enumeration date
11/18/2009
Last updated
08/13/2018
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