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NPI Code Detail

MEDICARE: SARAH HALL MA BCBA

MEDICARE:   SARAH  HALL  MA 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 Analyst1-25-85203FL
2106E00000XAssistant Behavior Analyst0-23-14678FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952980708
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HALL MA BCBA
Provider Business Mailing Address
First Line : 10181 SOLTURA DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-5995
Country : US
Telephone Number : 239-315-9368
Fax Number :
Provider Business Practice Location Address
First Line : 10181 SOLTURA DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-5995
Country : US
Telephone Number : 239-315-9368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 12/18/2025

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Directions to “ SARAH HALL MA BCBA” Practice Location

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