Healthcare Provider Details

I. General information

NPI: 1174112593
Provider Name (Legal Business Name): SARAH ELIZABETH PEARSON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 EASTERN AVE
SOMERVILLE NJ
08876-2535
US

IV. Provider business mailing address

991 CRIM RD
BRIDGEWATER NJ
08807-1879
US

V. Phone/Fax

Practice location:
  • Phone: 908-285-5631
  • Fax:
Mailing address:
  • Phone: 908-285-5631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number15BC00311600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: