Provider Demographics
NPI:1740896620
Name:PESHEL, SARAH (BCABA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:PESHEL
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BELL AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50315-1934
Mailing Address - Country:US
Mailing Address - Phone:319-654-4363
Mailing Address - Fax:
Practice Address - Street 1:4912 WALKER CIR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2535
Practice Address - Country:US
Practice Address - Phone:515-664-3422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician