MEDICARE: SARAH MECHLING

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326478405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MECHLING

Provider Business Mailing Address
First Line	:	764 CALIENTE DR
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-7965
Country	:	US
Telephone Number	:	305-794-7613
Fax Number	:

Provider Business Practice Location Address
First Line	:	4722 RIVERSTONE BLVD STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4723
Country	:	US
Telephone Number	:	472-210-0774
Fax Number	:

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

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	07/05/2023

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Directions to “ SARAH MECHLING ” Practice Location

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