Provider Demographics
NPI:1538937255
Name:SAGOSKY, EMMA JAYNE (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:JAYNE
Last Name:SAGOSKY
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:JAYNE
Other - Last Name:KRATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 PROVINCE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MASONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15461-2434
Mailing Address - Country:US
Mailing Address - Phone:724-322-3995
Mailing Address - Fax:
Practice Address - Street 1:24 PROVINCE HILL RD
Practice Address - Street 2:
Practice Address - City:MASONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15461-2434
Practice Address - Country:US
Practice Address - Phone:724-322-3995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000408103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst