Provider Demographics
NPI:1023553047
Name:ARCELLO, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ARCELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 KERLEY DR
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4346
Mailing Address - Country:US
Mailing Address - Phone:401-378-5539
Mailing Address - Fax:
Practice Address - Street 1:100 KERLEY DR
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4346
Practice Address - Country:US
Practice Address - Phone:401-378-5539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst