Provider Demographics
NPI:1427856731
Name:DENIZE, SARAH LYNE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNE
Last Name:DENIZE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 CAYUGA CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-5036
Mailing Address - Country:US
Mailing Address - Phone:516-641-9868
Mailing Address - Fax:
Practice Address - Street 1:1113 CAYUGA
Practice Address - Street 2:HOUSE
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019
Practice Address - Country:US
Practice Address - Phone:516-641-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician