Provider Demographics
NPI:1841886256
Name:SABAL, ZOE ANNA
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ANNA
Last Name:SABAL
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 1:695 W 3RD ST APT 277
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5250
Mailing Address - Country:US
Mailing Address - Phone:702-338-4126
Mailing Address - Fax:
Practice Address - Street 1:300 LOS ALTOS PKWY STE 109
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7754
Practice Address - Country:US
Practice Address - Phone:775-996-3890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician