Provider Demographics
NPI:1700277415
Name:FALATKO, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FALATKO
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 1:619 S HIGH ST
Mailing Address - Street 2:APT B
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-3605
Mailing Address - Country:US
Mailing Address - Phone:570-436-7645
Mailing Address - Fax:
Practice Address - Street 1:601 BOWERS DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5901
Practice Address - Country:US
Practice Address - Phone:570-436-7645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst