Provider Demographics
NPI:1003490830
Name:WEEKS, SARA ELIZABETH (ED S, LPES, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ELIZABETH
Last Name:WEEKS
Suffix:
Gender:F
Credentials:ED S, LPES, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 PINCKNEY ST
Mailing Address - Street 2:
Mailing Address - City:MC CLELLANVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29458-9741
Mailing Address - Country:US
Mailing Address - Phone:843-687-0640
Mailing Address - Fax:
Practice Address - Street 1:540 PINCKNEY ST
Practice Address - Street 2:
Practice Address - City:MC CLELLANVILLE
Practice Address - State:SC
Practice Address - Zip Code:29458-9741
Practice Address - Country:US
Practice Address - Phone:843-687-0640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst