Provider Demographics
NPI:1992566202
Name:FREEMAN, SARAH (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 COUNTY ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-8446
Mailing Address - Country:US
Mailing Address - Phone:860-977-9688
Mailing Address - Fax:
Practice Address - Street 1:592 COUNTY ROUTE 22
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-8446
Practice Address - Country:US
Practice Address - Phone:860-977-9688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003185-01103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst