Provider Demographics
NPI:1912346859
Name:RANDO, SABRINA (EDD BCBA)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:RANDO
Suffix:
Gender:F
Credentials:EDD BCBA
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:FOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 JUNIPER DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-3028
Mailing Address - Country:US
Mailing Address - Phone:978-837-1671
Mailing Address - Fax:
Practice Address - Street 1:12 JUNIPER DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3028
Practice Address - Country:US
Practice Address - Phone:978-837-1671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1-13-13156103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst