Provider Demographics
NPI:1780334805
Name:PISACANO, SARAH (NCSP, BCBA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PISACANO
Suffix:
Gender:F
Credentials:NCSP, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17344 SWEETBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4021
Mailing Address - Country:US
Mailing Address - Phone:302-645-7210
Mailing Address - Fax:
Practice Address - Street 1:17344 SWEETBRIAR RD
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4021
Practice Address - Country:US
Practice Address - Phone:326-645-7210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool