Provider Demographics
NPI:1003795634
Name:PESTANA, SARAH ISABEL
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ISABEL
Last Name:PESTANA
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 1:19 SEPTEMBER DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3473
Mailing Address - Country:US
Mailing Address - Phone:501-313-6855
Mailing Address - Fax:
Practice Address - Street 1:19 SEPTEMBER DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3473
Practice Address - Country:US
Practice Address - Phone:501-313-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician