Healthcare Provider Details

I. General information

NPI: 1821570961
Provider Name (Legal Business Name): SEBASTIAN JOSEPH SARNOWSKI BCBA, MA, LBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2018
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E BENSON BLVD STE 210H
ANCHORAGE AK
99503-4019
US

IV. Provider business mailing address

4302 LOIS DR
ANCHORAGE AK
99517-2653
US

V. Phone/Fax

Practice location:
  • Phone: 212-512-0860
  • Fax: 212-512-0861
Mailing address:
  • Phone: 907-444-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number201716
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: