Provider Demographics
NPI:1487480851
Name:SABO, BRIANA ELISE I (MA, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:ELISE
Last Name:SABO
Suffix:I
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LITTLE NECK RD
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1618
Mailing Address - Country:US
Mailing Address - Phone:631-935-2279
Mailing Address - Fax:
Practice Address - Street 1:75 PERKAL ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-6642
Practice Address - Country:US
Practice Address - Phone:631-968-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist