Provider Demographics
NPI:1760074066
Name:HARNSBERGER, SARAH RACHEL
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RACHEL
Last Name:HARNSBERGER
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 1:54 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-2604
Mailing Address - Country:US
Mailing Address - Phone:415-987-2674
Mailing Address - Fax:
Practice Address - Street 1:54 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-2604
Practice Address - Country:US
Practice Address - Phone:415-987-2674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst