Sophia Rose Addeo, MA
Individual provider Active NPI Behavior Analyst · Grandville, MI
NPI 1003534199 · NPPES record last updated Jan 23, 2026
Key facts
- NPI
- 1003534199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401003188 (MI)
- Practice address
- 42 44TH St SW
Grandville, MI 49418-2177 - Phone
- (844) 854-1116
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401003188 | MI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401003188 | MI | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
42 44TH St SW
Grandville, MI 49418-2177
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116
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All providers in Grandville, MI · Behavior Analyst in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.