Provider Demographics
NPI:1699553792
Name:HARNSBERRY, SADE (RBT)
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:
Last Name:HARNSBERRY
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 1:6707 ROBINWICK CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7631
Mailing Address - Country:US
Mailing Address - Phone:346-574-2707
Mailing Address - Fax:832-553-2668
Practice Address - Street 1:6707 ROBINWICK CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7631
Practice Address - Country:US
Practice Address - Phone:346-574-2707
Practice Address - Fax:832-553-2668
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-23-298567106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician