Doctor Name: | SARA BADRTALEI |
NPI Number: | 1790959666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 22471 Aspan St Suite 103 Lake Forest, CA - 926301642 |
Business Phone Number: | 9494582715 |
Business Fax Number: | |
Mailing Address: | 22581 Puntal Lana, MISSION VIEJO |
State: | CA |
Postal Code: | 926921337 |
Phone Number: | 9495336422 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |