Sara Camille Banegas
School Psychologist
5108 260th St E
Graham
, Washington 98338-9609
Sara Camille Banegas
School Psychologist
5108 260th St E
Graham
, Washington 98338-9609
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Sara Camille Banegas
- 5636 A St
- Tacoma, WA
- Zip : 98408-7505
- Phone :
Second Address
- Sara Camille Banegas
- 5108 260th St E
- Graham, WA
- Zip : 98338-9609
- Phone : (602) 653-1445
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 550480E | WA |
National Provider Identifier
| NPI | 1003397647 |
|---|---|
| Provider Name | Sara Camille Banegas |
| First Address | Tacoma, WA 98408-7505 |
| Second Address | Graham, WA 98338-9609 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2018 |
| Last Update Date | 22/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.