Provider Demographics
NPI:1447768080
Name:RAY, SARA-KATE (MA)
Entity Type:Individual
Prefix:MRS
First Name:SARA-KATE
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 HACKENSACK AVE APT 94
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2037
Mailing Address - Country:US
Mailing Address - Phone:480-254-6178
Mailing Address - Fax:
Practice Address - Street 1:494 HACKENSACK AVE APT 94
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2037
Practice Address - Country:US
Practice Address - Phone:480-254-6178
Practice Address - Fax:480-254-6178
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician