Sonya Roach
Day Training/Habilitation Specialist in Russellville, AR. Individual provider (NPI-1).
NPI number1285149203
StatusActive
Last updated in NPPESDec 13, 2017
Details
- NPI
- 1285149203
- Entity type
- Individual (NPI-1)
- Name
- Sonya Roach
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2017
- Last updated
- Dec 13, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
1301 Russell RdRussellville, AR 72802-4320
Phone 479-967-2322
Mailing address
Po Box 2109Russellville, AR 72811-2109
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Day Training/Habilitation Specialist providers in Russellville · All 1,590 providers in Russellville
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