Healthcare Provider Details

I. General information

NPI: 1245164094
Provider Name (Legal Business Name): SARAH TROXELL BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 SPECTRUM DR
FREDERICK MD
21703-7362
US

IV. Provider business mailing address

86 ANGEL HAVEN LN
SUMMIT POINT WV
25446-3760
US

V. Phone/Fax

Practice location:
  • Phone: 484-965-9966
  • Fax:
Mailing address:
  • Phone: 860-331-7219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133005223
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: