Provider Demographics
NPI:1346732757
Name:SAWYERS, TERRALYN LEILANI (BCBA, LBA)
Entity type:Individual
Prefix:
First Name:TERRALYN
Middle Name:LEILANI
Last Name:SAWYERS
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:TERRALYN
Other - Middle Name:
Other - Last Name:TIFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 50843
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0843
Mailing Address - Country:US
Mailing Address - Phone:775-354-1380
Mailing Address - Fax:
Practice Address - Street 1:5050 VISTA BLVD UNIT 105
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2845
Practice Address - Country:US
Practice Address - Phone:775-354-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0858103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst