Provider Demographics
NPI:1871115675
Name:GAYLER, SARA B (BCBA)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:B
Last Name:GAYLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 UNIVERSITY BLVD W APT 210
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-3315
Mailing Address - Country:US
Mailing Address - Phone:240-945-9774
Mailing Address - Fax:
Practice Address - Street 1:414 LIGHT STREET, BALTIMORE, MD, USA
Practice Address - Street 2:2101
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2120
Practice Address - Country:US
Practice Address - Phone:386-767-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRBT-20-125443106S00000X
MD1-24-71110103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician