Sara Abawage
Individual provider Active NPI Behavior Technician · Mesa, AZ
NPI 1134739006 · NPPES record last updated Aug 5, 2020
Key facts
- NPI
- 1134739006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 460 S Temple St
Mesa, AZ 85204-2637 - Phone
- (623) 806-9135
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
460 S Temple St
Mesa, AZ 85204-2637
Mailing address
460 S Temple St
Mesa, AZ 85204-2637
Phone (623) 806-9135
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.