Provider Demographics
NPI:1033421201
Name:MUCHNIK, SARA G (BCBA, LMHC, SLP)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:G
Last Name:MUCHNIK
Suffix:
Gender:F
Credentials:BCBA, LMHC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NEWPORT T
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2613
Mailing Address - Country:US
Mailing Address - Phone:917-755-6450
Mailing Address - Fax:
Practice Address - Street 1:297 NEWPORT T
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2613
Practice Address - Country:US
Practice Address - Phone:917-755-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-11-8867103K00000X
NY008850101YM0800X
NY018033235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist