MEDICARE: SARAH CRABB BCBA

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	101YM0800X	Mental Health Counselor
2	103K00000X	Behavior Analyst	2519	CT

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	:	1588102131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CRABB BCBA

Provider Business Mailing Address
First Line	:	515 CENTERPOINT DR STE 205
Second Line	:
City	:	MIDDLETOWN
State	:	CT
Zip	:	06457-7570
Country	:	US
Telephone Number	:	860-421-4052
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 CENTERPOINT DR STE 205
Second Line	:
City	:	MIDDLETOWN
State	:	CT
Zip	:	06457-7570
Country	:	US
Telephone Number	:	860-421-4052
Fax Number	:

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

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/22/2022

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Directions to “ SARAH CRABB BCBA” Practice Location

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