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NPI Code Detail

MEDICARE: SARAH R SEPLOWIN

MEDICARE: SARAH R SEPLOWIN
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
1103K00000XBehavior AnalystIL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1366166712
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH R SEPLOWIN
Provider Business Mailing Address
First Line : 411 E GENEVA RD
Second Line :
City : CAROL STREAM
State : IL
Zip : 60188-2457
Country : US
Telephone Number : 630-326-7982
Fax Number :
Provider Business Practice Location Address
First Line : 411 E GENEVA RD
Second Line :
City : CAROL STREAM
State : IL
Zip : 60188-2457
Country : US
Telephone Number : 630-326-7982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2022
Last Update Date : 01/26/2026

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