Individual
SARISA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
Mailing address
164 STRICKLIN RD, CULLMAN, AL 35057-3305
(256) 469-8493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021-077
AL
106S00000X
Behavior Technician
RBT-17-39358
AL
Other
Enumeration date
11/20/2019
Last updated
03/10/2023
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