Provider Demographics
NPI:1881577385
Name:MAMUD, SARAH GRACE (MS, BCBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:MAMUD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2534
Mailing Address - Country:US
Mailing Address - Phone:832-588-5763
Mailing Address - Fax:
Practice Address - Street 1:2225 PHILLIPS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573
Practice Address - Country:US
Practice Address - Phone:713-984-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst