Provider Demographics
NPI:1861105314
Name:SUMNER, SARAH (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SUMNER
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 JOHN HICKMAN PKWY STE 1104
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5948
Mailing Address - Country:US
Mailing Address - Phone:469-284-0801
Mailing Address - Fax:
Practice Address - Street 1:9300 JOHN HICKMAN PKWY STE 1104
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5948
Practice Address - Country:US
Practice Address - Phone:469-284-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst