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NPI Code Detail

MEDICARE: SARAH ELIZABETH HEBERT M.ED., BCBA

MEDICARE: SARAH ELIZABETH HEBERT M.ED., 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1740725316
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH HEBERT M.ED., BCBA
Provider Business Mailing Address
First Line : 8180 SIEGEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1914
Country : US
Telephone Number : 225-757-8002
Fax Number :
Provider Business Practice Location Address
First Line : 8180 SIEGEN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1914
Country : US
Telephone Number : 225-757-8002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2017
Last Update Date : 01/05/2017

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