Healthcare Provider Details

I. General information

NPI: 1811369747
Provider Name (Legal Business Name): MR. JOHN SABA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3523 MODOC RD
SANTA BARBARA CA
93105-4524
US

IV. Provider business mailing address

PO BOX 1572
CANYON COUNTRY CA
91386-1572
US

V. Phone/Fax

Practice location:
  • Phone: 661-313-0054
  • Fax:
Mailing address:
  • Phone: 661-313-0054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11935042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: