Provider Demographics
NPI:1104413228
Name:PRICE, SARAH (MA, BCBA, COBA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA, BCBA, COBA
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:RADEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA, COBA
Mailing Address - Street 1:11421 STORMES DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7730
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6960 S EDGERTON RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-3184
Practice Address - Country:US
Practice Address - Phone:440-241-8366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1-20-42131103K00000X
OHCOBA.00786103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst