Sarah Jacobs
Behavior Technician in Palmdale, CA. Individual provider (NPI-1).
NPI number1336770874
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1336770874
- Entity type
- Individual (NPI-1)
- Name
- Sarah Jacobs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2020
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 00012027 | CA | Yes |
Practice location
310 E Palmdale Blvd Ste GPalmdale, CA 93550-7143
Phone 661-480-1440 · Fax 855-568-2494
Mailing address
18726 S Western Ave Ste 408Gardena, CA 90248-3858
Phone 310-856-0800 · Fax 855-568-2494
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 298 Behavior Technician providers in Palmdale · All 2,795 providers in Palmdale
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