NPI 1790049385 · live from the CMS NPI Registry
Sara Mcgee Mansilla, BCaBA
Behavior Analyst in Eagle River, AK. National Provider Identifier 1790049385, active.
NPI record
| NPI | 1790049385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 17547 Silverwood Way # 14, Eagle River, AK 99577 |
| Practice phone | 504-884-2679 |
| Enumerated | June 27, 2012 |
| Last updated | June 27, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.