Provider Demographics
NPI:1700592797
Name:PRELL, SABRINA RENEE (RBT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:RENEE
Last Name:PRELL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 E US HIGHWAY 377 STE A
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7805
Mailing Address - Country:US
Mailing Address - Phone:682-333-1555
Mailing Address - Fax:817-717-2378
Practice Address - Street 1:5420 E US HIGHWAY 377 STE A
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7805
Practice Address - Country:US
Practice Address - Phone:682-333-1555
Practice Address - Fax:817-717-2378
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-22-240497106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician