Individual
SARA L COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 402-4460
Mailing address
311 N ORANGE ST, NEW SMYRNA BEACH, FL 32168-6733
(386) 402-4460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-25-86841
FL
106E00000X
Assistant Behavior Analyst
Primary
02314441
FL
Other
Enumeration date
12/13/2022
Last updated
01/07/2026
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