Provider Demographics
NPI:1538725304
Name:DALEY, SARAH GARDNER (MMFT, BCBA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:GARDNER
Last Name:DALEY
Suffix:
Gender:
Credentials:MMFT, BCBA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:GARDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 MAPLE TREE CT STE 103
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4079
Mailing Address - Country:US
Mailing Address - Phone:864-244-3474
Mailing Address - Fax:864-244-3475
Practice Address - Street 1:12 MAPLE TREE CT STE 103
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4079
Practice Address - Country:US
Practice Address - Phone:864-244-3474
Practice Address - Fax:864-244-3475
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
1-22-59668103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst