MEDICARE: SARA F FILE COBA, BCBA

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
1	103K00000X	Behavior Analyst	COBA.00539	OH

General Provider Information

NPI Number	:	1154836583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA F FILE COBA, BCBA

Provider Business Mailing Address
First Line	:	3780 RIDGE MILL DR STE 100
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7458
Country	:	US
Telephone Number	:	614-219-1510
Fax Number	:	614-219-1511

Provider Business Practice Location Address
First Line	:	3780 RIDGE MILL DR STE 100
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7458
Country	:	US
Telephone Number	:	614-219-1510
Fax Number	:	614-219-1511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2017
Last Update Date	:	10/30/2024

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