Provider Demographics
NPI:1689388563
Name:VARGAS, SABRINA DEL VALLE
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:DEL VALLE
Last Name:VARGAS
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 1:351 LAKEVIEW DR APT 101
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1319
Mailing Address - Country:US
Mailing Address - Phone:954-681-6593
Mailing Address - Fax:
Practice Address - Street 1:351 LAKEVIEW DR APT 101
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1319
Practice Address - Country:US
Practice Address - Phone:954-681-6593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician