MEDICARE: MRS. SARA HAUER MA

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	174400000X	Specialist

General Provider Information

NPI Number	:	1295399830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA HAUER MA

Provider Business Mailing Address
First Line	:	1312 38TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3612
Country	:	US
Telephone Number	:	718-686-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 WESTSIDE BLVD NW # 1
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24017-6784
Country	:	US
Telephone Number	:	443-722-6429
Fax Number	:

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

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	06/21/2024

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Directions to “ MRS. SARA HAUER MA” Practice Location

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