Provider Demographics
NPI:1881130763
Name:FRANK, SABRINA (MA, BCBA)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:VEILLEUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1704 ORRINGTON PAYNE PL
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-9060
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:324 NEWBURYPORT AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-796-8235
Practice Address - Fax:407-329-4180
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-16
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
1-19-37944103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009093700Medicaid