Provider Demographics
NPI:1245587344
Name:SATO, SARA (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SATO
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 KAUHANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3054
Mailing Address - Country:US
Mailing Address - Phone:808-384-5405
Mailing Address - Fax:
Practice Address - Street 1:2241 KAUHANA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3054
Practice Address - Country:US
Practice Address - Phone:808-384-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst