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NPI Code Detail

MEDICARE: SARA BARRERA

MEDICARE:   SARA  BARRERA
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
1106S00000XBehavior Technician
2251S00000XCommunity/Behavioral Health Agency
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1053995548
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA BARRERA
Provider Business Mailing Address
First Line : 4065 COUNTY CIRCLE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3410
Country : US
Telephone Number : 623-999-7376
Fax Number :
Provider Business Practice Location Address
First Line : 23898 CIRCLE DR
Second Line :
City : MENIFEE
State : CA
Zip : 92587-9203
Country : US
Telephone Number : 623-999-7376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 08/12/2025

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Directions to “ SARA BARRERA ” Practice Location

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