Provider Demographics
NPI:1831321728
Name:HAWS, SARAH BETH (MSCP, BCBA)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BETH
Last Name:HAWS
Suffix:
Gender:F
Credentials:MSCP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12007 ALTA CARMEL CT UNIT 318
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3837
Mailing Address - Country:US
Mailing Address - Phone:858-521-8173
Mailing Address - Fax:858-521-8173
Practice Address - Street 1:552 N COLORADO ST STE 210
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7781
Practice Address - Country:US
Practice Address - Phone:509-392-3834
Practice Address - Fax:509-265-4505
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-08-4728103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst