Healthcare Provider Details

I. General information

NPI: 1447038237
Provider Name (Legal Business Name): SARAH SORIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3238 S 16TH ST
MILWAUKEE WI
53215-4535
US

IV. Provider business mailing address

5705 WILLOW SPRINGS RD
COUNTRYSIDE IL
60525-3478
US

V. Phone/Fax

Practice location:
  • Phone: 414-847-5722
  • Fax:
Mailing address:
  • Phone: 312-965-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: