Provider Demographics
NPI:1629745880
Name:ARCHER, SARAH MCLEAN (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MCLEAN
Last Name:ARCHER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 46TH AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3521
Mailing Address - Country:US
Mailing Address - Phone:769-798-0668
Mailing Address - Fax:
Practice Address - Street 1:240 GREAT CIRCLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1707
Practice Address - Country:US
Practice Address - Phone:615-331-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst