Provider Demographics
NPI:1689338550
Name:SERPA-SABINO, ROBYN A
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:A
Last Name:SERPA-SABINO
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 1:2 TRAFALGAR DR APT 12B
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-2583
Mailing Address - Country:US
Mailing Address - Phone:978-766-6233
Mailing Address - Fax:
Practice Address - Street 1:2 TRAFALGAR DR APT 12B
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-2583
Practice Address - Country:US
Practice Address - Phone:978-766-6233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician