Provider Demographics
NPI:1841791498
Name:GIULIANI, SARAH J
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:GIULIANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WOJTOWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:11622 WARWICK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2345
Mailing Address - Country:US
Mailing Address - Phone:804-523-6202
Mailing Address - Fax:
Practice Address - Street 1:11622 WARWICK BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2345
Practice Address - Country:US
Practice Address - Phone:804-523-6202
Practice Address - Fax:804-447-4669
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0-18-9358106E00000X
WI00002561106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician