Provider Demographics
NPI:1386440576
Name:THOMAS, SARA KATHERINE
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KATHERINE
Last Name:THOMAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:KATHERINE
Other - Last Name:GREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 W JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-5508
Mailing Address - Country:US
Mailing Address - Phone:812-233-8833
Mailing Address - Fax:
Practice Address - Street 1:1050 W JOHNSON DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-5508
Practice Address - Country:US
Practice Address - Phone:812-233-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INRBT-24-331204106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician