Provider Demographics
NPI:1467232934
Name:VENTIMIGLIA, SARAH NAOMI
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NAOMI
Last Name:VENTIMIGLIA
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 1:3408 NILES RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-8628
Mailing Address - Country:US
Mailing Address - Phone:269-429-3324
Mailing Address - Fax:269-429-3323
Practice Address - Street 1:3408 NILES RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8628
Practice Address - Country:US
Practice Address - Phone:269-429-3324
Practice Address - Fax:269-429-3323
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician