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NPI Code Detail

MEDICARE: SARAH BROGAN

MEDICARE: SARAH BROGAN
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 AnalystBH004628PA

General Provider Information

NPI Number : 1043001670
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH BROGAN
Provider Business Mailing Address
First Line : 101 E. 8TH STREET AVENUE
Second Line : SUITE 303
City : CONSHOHOCKEN
State : PA
Zip : 19428
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 E 8TH AVE STE 303
Second Line :
City : CONSHOHOCKEN
State : PA
Zip : 19428-1774
Country : US
Telephone Number : 610-724-0949
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 05/14/2025

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Directions to “ SARAH BROGAN ” Practice Location

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