Provider Demographics
NPI:1134583214
Name:POUND, SARA ALISHA (BCBA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ALISHA
Last Name:POUND
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:PO BOX 5495
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29250-5495
Mailing Address - Country:US
Mailing Address - Phone:803-681-0816
Mailing Address - Fax:803-627-8961
Practice Address - Street 1:2108 GREENE ST # 5495
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-1641
Practice Address - Country:US
Practice Address - Phone:803-681-0816
Practice Address - Fax:803-627-8961
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1-16-21420103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst