MEDICARE: ELIZABETH SARAH SCHEFF 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1639510456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SARAH SCHEFF BCBA

Provider Business Mailing Address
First Line	:	180 PROMENADE CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2939
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 PROMENADE CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-2939
Country	:	US
Telephone Number	:	510-665-9700
Fax Number	:

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

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	01/09/2019

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