Active NPI
Sophie Ann Nabors
- Behavior Technician
- Towson, MD
National Provider Identifier
1942832340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- N162772067861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| N162772067861 | MD | MD | Behavior 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.