MEDICARE: SARAH ELIZABETH PAUL

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
2	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1174199269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH PAUL

Provider Business Mailing Address
First Line	:	3944 RANCH ROAD 620 S STE 201
Second Line	:
City	:	BEE CAVE
State	:	TX
Zip	:	78738-7166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 S MOPAC EXPY BLDG C
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-1461
Country	:	US
Telephone Number	:	512-458-0260
Fax Number	:

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

Provider Enumeration Date	:	05/31/2021
Last Update Date	:	10/11/2023

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Directions to “ SARAH ELIZABETH PAUL ” Practice Location

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