Wellformed AI

NPI 1235476730 · live from the CMS NPI Registry

Sarah Beth Hafer, BCBA

Behavior Analyst in Charles Town, WV. National Provider Identifier 1235476730, active.

NPI record

NPI1235476730 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location46 Trifecta Pl, Suite 105, Charles Town, WV 25414
Practice phone304-725-4536
Mailing address209 N Mildred St, Charles Town, WV 25414
EnumeratedJanuary 3, 2013
Last updatedDecember 30, 2013
Sole proprietorYes
Other namesSarah Jack

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.