Sophia Cecilia Alvarez

Individual provider Active NPI Behavior Technician · Dunwoody, GA

NPI 1417525015 · NPPES record last updated Jun 11, 2021

Key facts

NPI
1417525015
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1 Dunwoody Park Ste 220
Dunwoody, GA 30338-7404
Phone
(470) 702-9402
NPI assigned
Jun 11, 2021
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1 Dunwoody Park Ste 220
Dunwoody, GA 30338-7404

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580

Other providers in Dunwoody, GA

All providers in Dunwoody, GA · Behavior Technician in Georgia

Sources for this page

Verify at the official NPI Registry.