Healthcare Provider Details

I. General information

NPI: 1942871470
Provider Name (Legal Business Name): SASHA VINCENT BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 US 1
N PALM BEACH FL
33408-3539
US

IV. Provider business mailing address

1224 US 1
NORTH PALM BEACH FL
33408-3539
US

V. Phone/Fax

Practice location:
  • Phone: 561-203-8181
  • Fax:
Mailing address:
  • Phone: 702-349-6334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12150349
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: