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NPI Code Detail

MEDICARE: SARAH ELIZABETH FAVILLA MA, LBA, BCBA

MEDICARE: SARAH ELIZABETH FAVILLA MA, LBA, BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2799TX

General Provider Information

NPI Number : 1083110175
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH FAVILLA MA, LBA, BCBA
Provider Business Mailing Address
First Line : 7960 US HIGHWAY 287 E
Second Line :
City : CORRIGAN
State : TX
Zip : 75939-9000
Country : US
Telephone Number : 717-209-0052
Fax Number :
Provider Business Practice Location Address
First Line : 11111 KATY FWY STE 910
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2119
Country : US
Telephone Number : 832-400-9757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2018
Last Update Date : 10/14/2025

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