Provider Demographics
NPI:1508474255
Name:APPLEGATE, SARAH KAREN ANN
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KAREN ANN
Last Name:APPLEGATE
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 1:228 W 3RD ST APT 1
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:08518-1919
Mailing Address - Country:US
Mailing Address - Phone:609-336-6969
Mailing Address - Fax:
Practice Address - Street 1:150 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-6924
Practice Address - Country:US
Practice Address - Phone:160-984-7482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst