Provider Demographics
NPI:1982243143
Name:BINGHAM, SARA STUART (BCABA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:STUART
Last Name:BINGHAM
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 COPPER RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKVALE
Mailing Address - State:TN
Mailing Address - Zip Code:37153-4655
Mailing Address - Country:US
Mailing Address - Phone:615-848-4510
Mailing Address - Fax:
Practice Address - Street 1:538 MORRIS DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1032
Practice Address - Country:US
Practice Address - Phone:815-345-6319
Practice Address - Fax:615-208-9808
Is Sole Proprietor?:No
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst