Healthcare Provider Details

I. General information

NPI: 1780477414
Provider Name (Legal Business Name): SARAH A BENTZINGER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH A BENTZINGER BCBA

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1071 VALLEY RD
STIRLING NJ
07980-1523
US

IV. Provider business mailing address

1071 VALLEY RD
STIRLING NJ
07980-1523
US

V. Phone/Fax

Practice location:
  • Phone: 908-604-4500
  • Fax:
Mailing address:
  • Phone: 308-604-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: