Most Relevant Information
Provider Data
| NPI Number: | 1003415134 |
| Provider Name: | SOPHIA COLLADO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | RBT-20-137369 |
Most Important Dates
| Enumeration Date: | 10/20/2020 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
8118 FRY RD STE 103
CYPRESS
TX
774330022
Practice Location Phone/Fax
| Phone: | 8326534314 |
| Fax: |
Provider Mailing Location
8118 FRY RD STE 103
CYPRESS
TX
774330022
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |