Provider Demographics
NPI:1063970093
Name:KING, SARAH HARRISON (EDD, BCBA, LBA)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HARRISON
Last Name:KING
Suffix:
Gender:F
Credentials:EDD, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7351 MIDDLEBROOK PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3108
Mailing Address - Country:US
Mailing Address - Phone:865-621-4249
Mailing Address - Fax:865-381-1371
Practice Address - Street 1:7351 MIDDLEBROOK PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3108
Practice Address - Country:US
Practice Address - Phone:865-621-4249
Practice Address - Fax:865-381-1371
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-08
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN453103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty