Provider Demographics
NPI:1265883391
Name:HESTER, SARAH ELIZABETH (MA, BCBA)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:HESTER
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5302 S FLORIDA AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4922
Mailing Address - Country:US
Mailing Address - Phone:863-937-8067
Mailing Address - Fax:863-607-6207
Practice Address - Street 1:5302 S FLORIDA AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-4922
Practice Address - Country:US
Practice Address - Phone:863-937-8067
Practice Address - Fax:863-607-6207
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11521185103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst