Healthcare Provider Details

I. General information

NPI: 1619483815
Provider Name (Legal Business Name): SARAH CHRISTINE DUNN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CHRISTINE CANTIN RBT

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12750 VENTURA BLVD
STUDIO CITY CA
91604-2433
US

IV. Provider business mailing address

PO BOX 271690
LOUISVILLE CO
80027-5035
US

V. Phone/Fax

Practice location:
  • Phone: 818-423-2215
  • Fax:
Mailing address:
  • Phone: 720-837-2348
  • Fax: 303-554-5657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number16-22873
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-43115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: