Sara Bastin
Individual provider Active NPI Behavior Analyst · Braintree, MA
NPI 1316436009 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1316436009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1655 (MA)
- Practice address
- 40 Campanelli Dr
Braintree, MA 02184-5230 - Phone
- (781) 849-0828
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1655 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1655 | MA | Yes |
Addresses
Primary practice location
40 Campanelli Dr
Braintree, MA 02184-5230
Mailing address
100 Steamboat Dr
Marshfield, MA 02050-4143
Phone (207) 751-4016
Other providers in Braintree, MA
- Nancy M Barros
- Nicole Barsky
- Fritz G Barthelemy
- Angela Bassett
- Caitlin Bast
- Bay Shore Physical Therapy
- Bayada Home Health Care, Inc.
- Habibatu M Bayoh
- Caitlin Beals
- Gail A Bean
All providers in Braintree, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. 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.