Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Lynn Wiederhold

Individual provider Behavior Technician · NPI 1255998019

Sage Lynn Wiederhold is a Behavior Technician in Defuniak Springs, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

40 State Highway 83
Defuniak Springs, FL 32433-7404
Phone: (850) 595-9189
Fax: (850) 951-0898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1255998019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2019
Last updated in NPPESMay 28, 2019

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