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Sara Ikenberry

Behavior Technician in Arcata, CA. Individual provider (NPI-1).

NPI number1275027872
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1275027872
Entity type
Individual (NPI-1)
Name
Sara Ikenberry
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2018
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

901 O St Ste C
Arcata, CA 95521-5789

Phone 707-826-0872

Mailing address

2596 Maple Ln
Arcata, CA 95521-5119

Phone 805-591-9037

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