Provider Demographics
NPI:1003330564
Name:COOK, SARA L (BCBA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:COOK
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3768 NORWOOD DR STE 200-201
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9710
Mailing Address - Country:US
Mailing Address - Phone:720-491-8171
Mailing Address - Fax:720-367-0043
Practice Address - Street 1:3768 NORWOOD DR STE 200-201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9710
Practice Address - Country:US
Practice Address - Phone:720-491-8171
Practice Address - Fax:720-367-0043
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-18-31366103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst