Most Relevant Information
Provider Data
| NPI Number: | 1003348244 |
| Provider Name: | SOPHIA KASSIM BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-17-25244 |
Most Important Dates
| Enumeration Date: | 03/28/2017 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
3001 MEDICAL ARTS ST
APT 220
AUSTIN
TX
787053377
Practice Location Phone/Fax
| Phone: | 2054413329 |
| Fax: |
Provider Mailing Location
3001 MEDICAL ARTS ST
APT 220
AUSTIN
TX
787053377
Provider Mailing Phone/Fax
| Phone: | 2054413329 |
| Fax: |