Healthcare Provider Details

I. General information

NPI: 1245792324
Provider Name (Legal Business Name): SARAH GELINAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MARINER BLVD
SPRING HILL FL
34609-5691
US

IV. Provider business mailing address

12075 ELSTON ST
SPRING HILL FL
34609-2826
US

V. Phone/Fax

Practice location:
  • Phone: 352-810-0395
  • Fax: 888-751-4019
Mailing address:
  • Phone: 352-476-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12147698
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: