MEDICARE: ELIZABETH SARTO HOWARTH PHD, BCBA-D

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	1-15-19986	CA

General Provider Information

NPI Number	:	1285080382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SARTO HOWARTH PHD, BCBA-D

Provider Business Mailing Address
First Line	:	15373 INNOVATION DR STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3425
Country	:	US
Telephone Number	:	858-699-7579
Fax Number	:

Provider Business Practice Location Address
First Line	:	15373 INNOVATION DR STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-3425
Country	:	US
Telephone Number	:	858-699-7579
Fax Number	:

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

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	08/06/2017

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