Provider Demographics
NPI:1700302411
Name:ARNOLD, SANDY
Entity Type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 CITRUS TOWER BLVD
Mailing Address - Street 2:STE 116
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711
Mailing Address - Country:US
Mailing Address - Phone:352-223-1999
Mailing Address - Fax:352-600-3119
Practice Address - Street 1:355 CITRUS TOWER BLVD STE 116
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6501
Practice Address - Country:US
Practice Address - Phone:352-978-3045
Practice Address - Fax:352-600-3119
Is Sole Proprietor?:No
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst