Provider Demographics
NPI:1770076549
Name:UNIFY BEHAVIORAL SPEECH AND CONSULTING
Entity type:Organization
Organization Name:UNIFY BEHAVIORAL SPEECH AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAURER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP/BCBA
Authorized Official - Phone:724-257-1700
Mailing Address - Street 1:119 DARK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-7901
Mailing Address - Country:US
Mailing Address - Phone:724-257-1700
Mailing Address - Fax:
Practice Address - Street 1:119 DARK HOLLOW RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-7901
Practice Address - Country:US
Practice Address - Phone:724-257-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
PASL005714L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty