Healthcare Provider Details

I. General information

NPI: 1972216984
Provider Name (Legal Business Name): SARA MORRIS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA LENTO

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6876 MAGNOLIA AVE
RIVERSIDE CA
92506-2860
US

IV. Provider business mailing address

9065 HAVEN AVE
RANCHO CUCAMONGA CA
91730-5429
US

V. Phone/Fax

Practice location:
  • Phone: 800-207-0272
  • Fax:
Mailing address:
  • Phone: 909-451-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-84227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: