Provider Demographics
NPI:1144038084
Name:BAWUAH, YAA SARPONG
Entity type:Individual
Prefix:
First Name:YAA
Middle Name:SARPONG
Last Name:BAWUAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 CENTURY FARMS PKWY APT 1105
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5563
Mailing Address - Country:US
Mailing Address - Phone:615-481-2575
Mailing Address - Fax:
Practice Address - Street 1:2141 CENTURY FARMS PKWY APT 1105
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-5563
Practice Address - Country:US
Practice Address - Phone:615-481-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician