Healthcare Provider Details

I. General information

NPI: 1952074973
Provider Name (Legal Business Name): SABRINA COELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRINA SHEIBANI

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 SHILOH RD
ALPHARETTA GA
30005-8405
US

IV. Provider business mailing address

6505 SHILOH RD
ALPHARETTA GA
30005-8405
US

V. Phone/Fax

Practice location:
  • Phone: 678-648-7644
  • Fax:
Mailing address:
  • Phone: 678-648-7644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-62649
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-177065
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: