1609273846 NPI number — MRS. SARAH ATCHISON-STRICKER M.A., B.C.B.A., LBA

Table of content: MRS. SARAH ATCHISON-STRICKER M.A., B.C.B.A., LBA (NPI 1609273846)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609273846 NPI number — MRS. SARAH ATCHISON-STRICKER M.A., B.C.B.A., LBA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATCHISON-STRICKER
Provider First Name:
SARAH
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., B.C.B.A., LBA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ATCHISON
Provider Other First Name:
SARAH
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A, BCBA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1609273846
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
158 SAINT PHILLIP DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40502-1134
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-492-7118
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
158 SAINT PHILLIP DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40502-1134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-492-7118
Provider Business Practice Location Address Fax Number:
606-677-0412
Provider Enumeration Date:
12/03/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  KY-0069 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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