Provider Demographics
NPI:1386027464
Name:DIGIOIA, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DIGIOIA
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 1:6103 HATCHES CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3430
Mailing Address - Country:US
Mailing Address - Phone:703-944-9481
Mailing Address - Fax:
Practice Address - Street 1:6103 HATCHES CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3430
Practice Address - Country:US
Practice Address - Phone:703-944-9481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133000582103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst