Provider Demographics
NPI:1154198877
Name:SHERWOOD, SARAYA (RBT)
Entity type:Individual
Prefix:
First Name:SARAYA
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 28TH ST SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-7901
Mailing Address - Country:US
Mailing Address - Phone:509-690-0697
Mailing Address - Fax:
Practice Address - Street 1:2904 28TH ST SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-7901
Practice Address - Country:US
Practice Address - Phone:509-690-0697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician