MEDICARE: SARAH BAYER

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	1-25-86112	NJ

General Provider Information

NPI Number	:	1770446015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BAYER

Provider Business Mailing Address
First Line	:	205 WASHINGTON AVE
Second Line	:
City	:	LITTLE FERRY
State	:	NJ
Zip	:	07643-2044
Country	:	US
Telephone Number	:	201-577-1443
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 WASHINGTON AVE
Second Line	:
City	:	LITTLE FERRY
State	:	NJ
Zip	:	07643-2044
Country	:	US
Telephone Number	:	201-577-1443
Fax Number	:

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

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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