Provider Demographics
NPI:1417517749
Name:DELGADO, SABRINA (MA, BCBA)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:DECARL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, BCBA
Mailing Address - Street 1:35 RUSSET WAY
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2472
Mailing Address - Country:US
Mailing Address - Phone:678-939-5697
Mailing Address - Fax:
Practice Address - Street 1:6361 TALOKAS LN STE C140-158
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5642
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3193103K00000X
GA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst