Healthcare Provider Details

I. General information

NPI: 1679297261
Provider Name (Legal Business Name): SARIAH AUTUMN OREILLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27555 YNEZ RD STE 300
TEMECULA CA
92591-4678
US

IV. Provider business mailing address

31641 WILLOW VIEW PPL
LAKE ELSINORE CA
92532
US

V. Phone/Fax

Practice location:
  • Phone: 909-269-8438
  • Fax:
Mailing address:
  • Phone: 951-579-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-236247
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: