Provider Demographics
NPI:1629966734
Name:BOCIAN, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BOCIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14421 S WALLIN DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-2502
Mailing Address - Country:US
Mailing Address - Phone:630-402-6060
Mailing Address - Fax:708-292-3009
Practice Address - Street 1:14421 S WALLIN DR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-2502
Practice Address - Country:US
Practice Address - Phone:630-402-6060
Practice Address - Fax:708-292-3009
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician