Provider Demographics
NPI:1093079618
Name:VALENTE, SARAH ELAINE (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELAINE
Last Name:VALENTE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ELAINE
Other - Last Name:FARDELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-7400
Mailing Address - Country:US
Mailing Address - Phone:631-659-3337
Mailing Address - Fax:631-659-3338
Practice Address - Street 1:160 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7400
Practice Address - Country:US
Practice Address - Phone:631-659-3337
Practice Address - Fax:631-659-3338
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY612854121103K00000X
NY612840121103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst