Most Relevant Information
Provider Data
| NPI Number: | 1003330432 |
| Provider Name: | SARA NICOLE DODSON BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2017 |
| Last Updated: | 07/27/2017 |
Provider Practice Location
1107 E GRAND RIVER AVE
LANSING
MI
489065457
Practice Location Phone/Fax
| Phone: | 5174040252 |
| Fax: |
Provider Mailing Location
640 FARM LN
EAST LANSING
MI
488231600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |