Most Relevant Information
Provider Data
| NPI Number: | 1003534801 |
| Provider Name: | SOPHIA GABRIELLE VARGAS BA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/17/2022 |
| Last Updated: | 08/17/2022 |
Provider Practice Location
3901 MONTGOMERY BLVD NE APT 202
ALBUQUERQUE
NM
871091085
Practice Location Phone/Fax
| Phone: | 5752088860 |
| Fax: |
Provider Mailing Location
3901 MONTGOMERY BLVD NE APT 202
ALBUQUERQUE
NM
871091085
Provider Mailing Phone/Fax
| Phone: | 5752088860 |
| Fax: |