Provider Demographics
NPI:1699435735
Name:SARAO, MARIA BERNADETTE (CALT, LDT)
Entity type:Individual
Prefix:MRS
First Name:MARIA BERNADETTE
Middle Name:
Last Name:SARAO
Suffix:
Gender:F
Credentials:CALT, LDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 BOVINA DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2884
Mailing Address - Country:US
Mailing Address - Phone:201-920-6359
Mailing Address - Fax:
Practice Address - Street 1:1501 BOVINA DR
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-2884
Practice Address - Country:US
Practice Address - Phone:201-920-6359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2598174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX58619430OtherCERTIFIED ACADEMIC LANGUAGE THERAPIST
TX2598OtherLICENSED DYSLEXIA THERAPIST