Individual provider · Type 1 NPI
Sara Lynn Bannon
Developmental Therapist · Great Barrington, MA
Practice location
19 Fairview Ter
Great Barrington, MA 01230-1264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 436236 (MA) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1114209699
Sara Lynn Bannon's National Provider Identifier is 1114209699, issued on Sep 12, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Great Barrington, MA. The record was last updated on Sep 12, 2011.