Sophia Bono, RBT
Individual provider Active NPI Behavior Analyst · Jacksonville, FL
NPI 1992457477 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1992457477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 4443 Bass PL N
Jacksonville, FL 32210-6000 - Phone
- (904) 465-0090
- Fax
- (904) 212-1032
- NPI assigned
- Jan 25, 2022
- 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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
4443 Bass PL N
Jacksonville, FL 32210-6000
Mailing address
4443 Bass PL N
Jacksonville, FL 32210-6000
Phone (904) 465-0090
Other providers in Jacksonville, FL
- Kenya Bonner
- Lauren Elizabeth Bonner
- William Mason Bonner
- Guadalupe Bonno
- Raquel Cruz Bono
- Natalie Bonvie-Hill
- Brian Bonzo
- Brent Boodhai
- India Ashley Booker
- Kenyon Booker
All providers in Jacksonville, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 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.