Healthcare Provider Details

I. General information

NPI: 1124729223
Provider Name (Legal Business Name): SARA ELIZABETH ZABEK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1998 BARRET CT STE A
HENDERSON KY
42420-7527
US

IV. Provider business mailing address

928 ROGERS CT
OWENSBORO KY
42303-6482
US

V. Phone/Fax

Practice location:
  • Phone: 270-702-7334
  • Fax:
Mailing address:
  • Phone: 270-702-7334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-74882
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-21423
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: