Provider Demographics
NPI:1861024358
Name:KHALIL, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KHALIL
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 1:1 MEADOWLANDS PLZ STE 213
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-2152
Mailing Address - Country:US
Mailing Address - Phone:201-340-2610
Mailing Address - Fax:
Practice Address - Street 1:1 MEADOWLANDS PLZ STE 213
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-2152
Practice Address - Country:US
Practice Address - Phone:201-340-2610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst