Provider Demographics
NPI:1497102107
Name:FELIU, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:FELIU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9911 CORKSCREW RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3323
Mailing Address - Country:US
Mailing Address - Phone:239-491-9298
Mailing Address - Fax:
Practice Address - Street 1:9419 IVY BROOK RUN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7769
Practice Address - Country:US
Practice Address - Phone:239-491-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst