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NPI Code Detail

MEDICARE: DR. SARA MARIE WEINKAUF PHD

MEDICARE: DR. SARA MARIE WEINKAUF PHD
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 Analyst

General Provider Information

NPI Number : 1689983033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA MARIE WEINKAUF PHD
Provider Business Mailing Address
First Line : 65 ENTERPRISE
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-2705
Country : US
Telephone Number : 949-541-1086
Fax Number :
Provider Business Practice Location Address
First Line : 65 ENTERPRISE
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-2705
Country : US
Telephone Number : 949-541-1086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 04/26/2024

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