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NPI Code Detail

MEDICARE: SARAH LEANNE HERNANDEZ

MEDICARE: SARAH LEANNE HERNANDEZ
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1548129471
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LEANNE HERNANDEZ
Provider Business Mailing Address
First Line : 4405 LINDEN AVE N APT 105
Second Line :
City : SEATTLE
State : WA
Zip : 98103-9200
Country : US
Telephone Number : 858-380-6405
Fax Number :
Provider Business Practice Location Address
First Line : 6112 GOULD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2959
Country : US
Telephone Number : 206-659-7246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ SARAH LEANNE HERNANDEZ ” Practice Location

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