Sara Blankenship
Individual provider Active NPI Behavior Technician · Modesto, CA
NPI 1972053395 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1972053395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2630 W Rumble Rd
Modesto, CA 95350-0155 - Phone
- (209) 579-9444
- Fax
- (209) 579-9494
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral & Educational Strategies & Training | Past | Accepting new patients | |
| Behavioral & Educational Strategies & Training | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2630 W Rumble Rd
Modesto, CA 95350-0155
Mailing address
2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 579-9444
Other providers in Modesto, CA
- Bianca Priscilla Blanco
- Francesca Raquel Blanco
- Hilda Blanco
- Stephanie Bland
- Bradley S. Blankenship
- Vivian Blas
- Samuel Ernest Bleakley
- Tyra Bledsoe
- Ashley Blevins
- Laura Blom
All providers in Modesto, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. 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.