Sofia Maj

Individual provider Active NPI Behavior Technician · East Tawas, MI

NPI 1568046936 · NPPES record last updated Jun 20, 2023

Key facts

NPI
1568046936
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
111 Newman St
East Tawas, MI 48730-1272
Phone
(844) 244-1818
NPI assigned
May 11, 2021
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
ABA Pathways, LLC Past
since May 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

111 Newman St
East Tawas, MI 48730-1272

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 244-1818

Other practice location 1

314 E Chisholm St
Alpena, MI 49707-2876
Phone (810) 599-2129

Other providers in East Tawas, MI

All providers in East Tawas, MI · Behavior Technician in Michigan

Sources for this page

Verify at the official NPI Registry.