Healthcare Provider Details

I. General information

NPI: 1598460214
Provider Name (Legal Business Name): SARAH FELICIA BANZHAF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH FELICIA HOWARD

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PRATT ST FL 8
BALTIMORE MD
21202-3180
US

IV. Provider business mailing address

3143 PINE ORCHARD LN APT 401
ELLICOTT CITY MD
21042-4260
US

V. Phone/Fax

Practice location:
  • Phone: 866-872-7601
  • Fax:
Mailing address:
  • Phone: 443-652-7698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA1833
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: