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NPI Code Detail

MEDICARE: SARA SCHONWETTER

MEDICARE: SARA SCHONWETTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1013267723
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA SCHONWETTER
Provider Business Mailing Address
First Line : 4611 S UNIVERSITY DR # 232
Second Line :
City : DAVIE
State : FL
Zip : 33328-3817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4611 S UNIVERSITY DR # 232
Second Line :
City : DAVIE
State : FL
Zip : 33328-3817
Country : US
Telephone Number : 305-668-8644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2012
Last Update Date : 10/09/2018

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Directions to “ SARA SCHONWETTER ” Practice Location

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