Provider Demographics
NPI:1922365592
Name:CARBONE, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:CARBONE
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 1:728 W CABARRUS ST
Mailing Address - Street 2:APT 2
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-1945
Mailing Address - Country:US
Mailing Address - Phone:203-980-1534
Mailing Address - Fax:
Practice Address - Street 1:728 W CABARRUS ST
Practice Address - Street 2:APT 2
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1945
Practice Address - Country:US
Practice Address - Phone:203-980-1534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst