Provider Demographics
NPI:1346942331
Name:BEST, SA DAIRAH
Entity Type:Individual
Prefix:
First Name:SA DAIRAH
Middle Name:
Last Name:BEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4696 WHITE FLOWER LN S APT 308
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3738
Mailing Address - Country:US
Mailing Address - Phone:614-967-5045
Mailing Address - Fax:
Practice Address - Street 1:4696 WHITE FLOWER LN S APT 308
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-3738
Practice Address - Country:US
Practice Address - Phone:614-967-5045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant