Provider Demographics
NPI:1679062004
Name:BENDEKOVITS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BENDEKOVITS
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 1:344 FORT ST
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-1446
Mailing Address - Country:US
Mailing Address - Phone:610-393-1396
Mailing Address - Fax:
Practice Address - Street 1:20410 OBSERVATION DR STE 107
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6419
Practice Address - Country:US
Practice Address - Phone:202-420-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2022-02-05
Deactivation Date:2022-01-20
Deactivation Code:
Reactivation Date:2022-02-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician