Healthcare Provider Details

I. General information

NPI: 1770446015
Provider Name (Legal Business Name): SARAH BAYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WASHINGTON AVE
LITTLE FERRY NJ
07643-2044
US

IV. Provider business mailing address

205 WASHINGTON AVE
LITTLE FERRY NJ
07643-2044
US

V. Phone/Fax

Practice location:
  • Phone: 201-577-1443
  • Fax:
Mailing address:
  • Phone: 201-577-1443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86112
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: