Provider Demographics
NPI:1851823322
Name:DION, SARAH (BCBA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DION
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 IRVING PL
Mailing Address - Street 2:P14I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9701
Mailing Address - Country:US
Mailing Address - Phone:215-760-3752
Mailing Address - Fax:
Practice Address - Street 1:1 IRVING PL
Practice Address - Street 2:P14I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9701
Practice Address - Country:US
Practice Address - Phone:215-760-3752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst