Provider Demographics
NPI:1063158996
Name:WAIDA, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WAIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-5819
Mailing Address - Country:US
Mailing Address - Phone:724-561-4132
Mailing Address - Fax:
Practice Address - Street 1:470 STREETS RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2023
Practice Address - Country:US
Practice Address - Phone:412-495-7697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst