MEDICARE: SABRINA DELGADO MA, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	3193	TX
2	103K00000X	Behavior Analyst		GA

General Provider Information

NPI Number	:	1417517749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA DELGADO MA, BCBA

Provider Business Mailing Address
First Line	:	35 RUSSET WAY
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30263-2472
Country	:	US
Telephone Number	:	678-939-5697
Fax Number	:

Provider Business Practice Location Address
First Line	:	6361 TALOKAS LN STE C140-158
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-5642
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2019
Last Update Date	:	05/02/2025

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