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NPI Code Detail

MEDICARE: SARA MATTSON

MEDICARE: SARA MATTSON
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
1106S00000XBehavior Technician

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 : 1962131029
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MATTSON
Provider Business Mailing Address
First Line : 6121 ROUND LAKE RD
Second Line :
City : APOPKA
State : FL
Zip : 32712-5104
Country : US
Telephone Number : 407-821-5052
Fax Number :
Provider Business Practice Location Address
First Line : 451 CHICAGO WOODS CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32824-9313
Country : US
Telephone Number : 407-426-4464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 04/17/2026

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Directions to “ SARA MATTSON ” Practice Location

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