Sophonisba Gathman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00062 Issued in RI

Practice address

178 Norwood Ave
Cranston, RI 02905-3923

Phone

(401) 406-0618

Fax

(401) 921-1415

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1750744645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 NORWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053923",
            "telephone_number": "401-406-0618",
            "fax_number": "401-921-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 NORWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053923",
            "telephone_number": "401-406-0618",
            "fax_number": "401-921-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHMAN",
        "first_name": "SOPHONISBA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason C Gasper, DO
• Erin Gates, MD
• Gateways to Change, Inc.
• Gateways to Change, Inc.
• Gateways to Change, Inc.
• Brian David Gaudette, DMD
• Jennifer Gaudiana
• Jamie L Gauthier, LCSW
• Micheline Gauthier, AU.D., CCC-A
• Heidi Gay, RN, BSN

• Behavior Analyst in Cranston, RI
• Providers in Cranston, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.