Bethany Sarff
Individual provider Active NPI Behavior Analyst · La Moille, IL
NPI 1811664733 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1811664733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 407 S Main St
La Moille, IL 61330-9479 - Phone
- (815) 878-6206
- NPI assigned
- Aug 27, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
407 S Main St
La Moille, IL 61330-9479
Mailing address
407 S Main St
La Moille, IL 61330-9479
Phone (815) 878-6206
Other providers in La Moille, IL
All providers in La Moille, IL · Behavior Analyst in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. 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.