Provider Demographics
NPI:1225547177
Name:CARDEN, SARAH RAE (BCBA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RAE
Last Name:CARDEN
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 1:910 FLORIN RD STE 111
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-3569
Mailing Address - Country:US
Mailing Address - Phone:916-955-5921
Mailing Address - Fax:
Practice Address - Street 1:910 FLORIN RD STE 111
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3569
Practice Address - Country:US
Practice Address - Phone:916-955-5921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-26915103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst