NPI 1316233307 · live from the CMS NPI Registry
Sara Wertz, BCBA
Behavior Analyst in Cheyenne, WY. National Provider Identifier 1316233307, active.
NPI record
| NPI | 1316233307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1704 Westland Rd, Cheyenne, WY 82001 |
| Practice phone | 605-271-2690 |
| Mailing address | 1105 W Russell St, Sioux Falls, SD 57104 |
| Enumerated | June 28, 2011 |
| Last updated | November 1, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | — |
| Behavior Analyst primary | 103K00000X | 1-21-51597 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.