Healthcare Provider Details

I. General information

NPI: 1114411840
Provider Name (Legal Business Name): SARAH CRISTIANO BATTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2018
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 COMMERCE CENTER BLVD
FAIRBORN OH
45324-6333
US

IV. Provider business mailing address

646 BRITTON AVE
DAYTON OH
45429-5604
US

V. Phone/Fax

Practice location:
  • Phone: 937-878-8444
  • Fax:
Mailing address:
  • Phone: 937-602-6468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62964
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: