NPI Code Details Logo

NPI 1093628505

NPI 1093628505 : MEGAN ELIZABETH SARTIN : YUCCA VALLEY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093628505
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MEGAN ELIZABETH SARTIN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2026
-----------------------------------------------------
    Last Update Date     |    09/25/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    58036 EL DORADO DR 
-----------------------------------------------------
    City                 |    YUCCA VALLEY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92284-6237
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    442-459-6773
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    39249 LEOPARD ST STE 107 
-----------------------------------------------------
    City                 |    PALM DESERT
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92211-1146
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    760-237-8070
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.