Healthcare Provider Details

I. General information

NPI: 1790689453
Provider Name (Legal Business Name): SARAH AFIYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W 14TH ST
TEMPE AZ
85281-6925
US

IV. Provider business mailing address

2005 W 14TH ST
TEMPE AZ
85281-6925
US

V. Phone/Fax

Practice location:
  • Phone: 480-863-0763
  • Fax: 480-898-0741
Mailing address:
  • Phone: 480-863-0763
  • Fax: 480-898-0741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: