Healthcare Provider Details

I. General information

NPI: 1629668371
Provider Name (Legal Business Name): SARAH ESCALERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8803 TAMIAMI TRL E
NAPLES FL
34113-3347
US

IV. Provider business mailing address

5050 TAMIAMI TRL N STE B
NAPLES FL
34103-2853
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-4787
  • Fax:
Mailing address:
  • Phone: 239-351-4787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: