Healthcare Provider Details

I. General information

NPI: 1164079679
Provider Name (Legal Business Name): SABRINA ALEXIS HILLBRAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SABRINA ALEXIS MILSTEAD

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 11/17/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CONGRESS AVE STE 2000
AUSTIN TX
78701-2745
US

IV. Provider business mailing address

1924 SKILLMAN ST
DALLAS TX
75206-2745
US

V. Phone/Fax

Practice location:
  • Phone: 877-418-2978
  • Fax: 866-500-2186
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: