Provider Demographics
NPI:1467146399
Name:DELUCA, SARA MICHAELA (CBT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MICHAELA
Last Name:DELUCA
Suffix:
Gender:F
Credentials:CBT
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Other - Credentials:
Mailing Address - Street 1:22415 SE 231ST ST STE B103
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-5002
Mailing Address - Country:US
Mailing Address - Phone:425-906-4300
Mailing Address - Fax:425-906-4321
Practice Address - Street 1:22415 SE 231ST ST STE B103
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5002
Practice Address - Country:US
Practice Address - Phone:425-906-4300
Practice Address - Fax:425-906-4321
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician