Provider Demographics
NPI:1659981868
Name:BLUMENFELD, SARAH F (MS ED BCBA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:F
Last Name:BLUMENFELD
Suffix:
Gender:F
Credentials:MS ED BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 BATES DR
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2888
Mailing Address - Country:US
Mailing Address - Phone:862-571-9452
Mailing Address - Fax:
Practice Address - Street 1:197 BATES DR
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2888
Practice Address - Country:US
Practice Address - Phone:862-571-9452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst