Provider Demographics
NPI:1285922872
Name:DOYLE, SARA MARIE (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5808 CLARKSON DR
Mailing Address - Street 2:
Mailing Address - City:EAST PETERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17520-1403
Mailing Address - Country:US
Mailing Address - Phone:717-475-6904
Mailing Address - Fax:
Practice Address - Street 1:5808 CLARKSON DR
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1403
Practice Address - Country:US
Practice Address - Phone:717-475-6904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst