Sophia Holland
Individual provider Active NPI Behavior Technician · Forsyth, GA
NPI 1548091820 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1548091820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 6908, 558 Ga-83
Forsyth, GA 31029 - Phone
- (478) 994-7066
- NPI assigned
- Aug 9, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | GA | Yes |
Addresses
Primary practice location
6908, 558 Ga-83
Forsyth, GA 31029
Mailing address
530 Fawn Rd
Forsyth, GA 31029-3831
Phone (478) 957-3060
Other providers in Forsyth, GA
- Healthyconnect Primary Care of Georgia LLC
- Latoya Nicole Henry-Morrison
- Toneisha Herring
- Stanley J Hickman
- Holly A Hoenes
- Melissa Lynn Hoover
- Charles Joseph Hortman Jr.
- Hospitalmd PTC Ga, Inc
- Hospitalmd PTC Ip, Inc
- Ignite Performance Nutrition, LLC
All providers in Forsyth, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. 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.