Healthcare Provider Details

I. General information

NPI: 1174458277
Provider Name (Legal Business Name): SARAH M ALLSOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

798 LIGHTHOUSE AVE STE 324
MONTEREY CA
93940-1010
US

IV. Provider business mailing address

1612 PEMBROOK DR
LOMPOC CA
93436-7125
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: