MEDICARE: SARAH ELIZABETH ESLINGER 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

General Provider Information

NPI Number	:	1205171303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH ESLINGER BCBA

Provider Business Mailing Address
First Line	:	6801 GUNN DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1442
Country	:	US
Telephone Number	:	415-412-5655
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 MT DIABLO BLVD STE 107
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-3780
Country	:	US
Telephone Number	:	510-665-9700
Fax Number	:

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

Provider Enumeration Date	:	12/01/2012
Last Update Date	:	12/20/2018

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