MEDICARE: SARA NICOLE KRETH

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
1	106S00000X	Behavior Technician	25-47065	TX

General Provider Information

NPI Number	:	1326911629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA NICOLE KRETH

Provider Business Mailing Address
First Line	:	24027 VERDE RIV
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2061
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24027 VERDE RIV
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78255-2061
Country	:	US
Telephone Number	:	210-788-4963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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Directions to “ SARA NICOLE KRETH ” Practice Location

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