MEDICARE: KYASIAH SABB

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1558200287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYASIAH SABB

Provider Business Mailing Address
First Line	:	2081 HONORS CIR
Second Line	:
City	:	GRANITEVILLE
State	:	SC
Zip	:	29829-4089
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 PERIMETER CTR N
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30346-3402
Country	:	US
Telephone Number	:	770-264-1920
Fax Number	:

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

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ KYASIAH SABB ” Practice Location

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