Gianino, Sara Lauren

Gianino, Sara Lauren is an individual health care provider with primary practice located at 13300 Atlantic Blvd Apt 823 , Jacksonville FL 32225-6114. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gianino, Sara Lauren can be contacted via phone (772) 480-5904.

Contact Information

Primary practice address
13300 Atlantic Blvd Apt 823 Jacksonville FL 32225-6114
Phone: (772) 480-5904
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-1782 Florida

Profile Details

NPI number 1275684235
LBN Legal business name Gianino, Sara Lauren
Credentials M.S., B.C.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275684235 NPPES
Florida MEDICAID 766647100

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