Individual provider Active NPI

Sophie Ann Nabors

  • Behavior Technician
  • Towson, MD
National Provider Identifier
1942832340
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
N162772067861 Issued in MD
Practice address
406 Campus View Dr Apt 4106
Towson, MD 21204-6869
Phone
(240) 723-5607
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X N162772067861
Behavior Technician 106S00000X N162772067861 MD Primary

Addresses

Primary practice location

406 Campus View Dr Apt 4106
Towson, MD 21204-6869

Mailing address

10497 Damascus Park LN
Damascus, MD 20872-2733
Phone (240) 723-5607

Other practice location 1

10497 Damascus Park Ln
Damascus, MD 20872-2733
Phone (240) 723-5607

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
N162772067861MDMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1942832340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10497 DAMASCUS PARK LN",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722733",
            "telephone_number": "240-723-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CAMPUS VIEW DR APT 4106",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046869",
            "telephone_number": "240-723-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10497 Damascus Park Ln",
            "address_purpose": "LOCATION",
            "city": "Damascus",
            "state": "MD",
            "postal_code": "208722733",
            "country_code": "US",
            "telephone_number": "240-723-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABORS",
        "first_name": "SOPHIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "N162772067861",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "N162772067861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.