Provider Demographics
NPI:1457993842
Name:HARRIS, SARAH JORDAN (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JORDAN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JORDAN
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, BCBA, LBA
Mailing Address - Street 1:1515 RICHMOND HWY APT 1422
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-3316
Mailing Address - Country:US
Mailing Address - Phone:812-987-2839
Mailing Address - Fax:
Practice Address - Street 1:7600 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2004
Practice Address - Country:US
Practice Address - Phone:812-987-2839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst