Provider Demographics
NPI:1740099654
Name:WARNICK, SAGE ELIZABETH
Entity type:Individual
Prefix:
First Name:SAGE
Middle Name:ELIZABETH
Last Name:WARNICK
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 1:25 FAULKNER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1405
Mailing Address - Country:US
Mailing Address - Phone:469-910-7564
Mailing Address - Fax:
Practice Address - Street 1:25 FAULKNER RD
Practice Address - Street 2:
Practice Address - City:NORTH GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536-1405
Practice Address - Country:US
Practice Address - Phone:469-910-7564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician