MEDICARE: MEAGAN ALEXIS SARABIA

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1629884309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN ALEXIS SARABIA

Provider Business Mailing Address
First Line	:	1635 N LEE TREVINO DR STE 3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5174
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 N LEE TREVINO DR STE 3
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5174
Country	:	US
Telephone Number	:	915-505-3606
Fax Number	:

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

Provider Enumeration Date	:	12/06/2024
Last Update Date	:	12/06/2024

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Directions to “ MEAGAN ALEXIS SARABIA ” Practice Location

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