Provider Demographics
NPI:1013390277
Name:CLARKE, SARAH (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:CLARKE
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 1:51 ROSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAUNDERSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02874-3710
Mailing Address - Country:US
Mailing Address - Phone:401-480-5250
Mailing Address - Fax:
Practice Address - Street 1:51 ROSE HILL RD
Practice Address - Street 2:
Practice Address - City:SAUNDERSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02874-3710
Practice Address - Country:US
Practice Address - Phone:401-480-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst