Sophia Belanger

Individual provider Active NPI Behavior Analyst · Westminster, CA

NPI 1306235650 · NPPES record last updated Jun 24, 2020

Key facts

NPI
1306235650
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-12-11763 (CA)
Practice address
13950 Milton Ave
Westminster, CA 92683-2900
Phone
(885) 832-6727
NPI assigned
Jan 9, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Passport to Adaptive Living Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Analyst 103K00000X 1-12-11763 CA Yes

Addresses

Primary practice location

13950 Milton Ave
Westminster, CA 92683-2900

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other practice location 1

1673 Donlon St Ste 204
Ventura, CA 93003-5668
Phone (805) 339-0210

Other providers in Westminster, CA

All providers in Westminster, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.