SAGE LYNN WIEDERHOLD
NPI 1255998019
Behavior Technician in Defuniak Springs, FL

Q: What is Sage Wiederhold's NPI number?

The NPI number for Sage Wiederhold is 1255998019. It was assigned to this individual provider in the NPPES registry on May 28, 2019. The provider is also known as Sage Lynn Boice.

Q: What is Sage Wiederhold's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Sage Wiederhold was last updated on May 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 28, 2019

40 STATE HIGHWAY 83, DEFUNIAK SPRINGS, FL 32433(850) 595-9189(850) 951-0898 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sage Lynn Wiederhold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE LYNN WIEDERHOLD (NPI 1255998019) is an individual behavior technician in Defuniak Springs, Florida and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1255998019

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameSAGE LYNN WIEDERHOLD

Location Address40 STATE HIGHWAY 83Defuniak Springs, FL 32433-7404

Mailing Address315 S 19th St Apt 504Defuniak Springs, FL 32435-2364 · (850) 238-0742

Phone(850) 595-9189

Fax(850) 951-0898

Sole ProprietorYes

Enumeration DateMay 28, 2019

✔ NPI 1255998019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

40 STATE HIGHWAY 83, Defuniak Springs, FL 32433

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Other Names 1

Former Name (1)Sage Lynn Boice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLYANNE EVANS COLLINS

Behavior Technician