Sophia M Supar
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1831995083
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1831995083
- Entity type
- Individual (NPI-1)
- Name
- Sophia M Supar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2025
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
605 Standiford AveModesto, CA 95350-1000
Phone 877-418-2978
Mailing address
350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834
Phone 877-418-2978 · Fax 866-500-2186
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