Most Relevant Information
Provider Data
| NPI Number: | 1003652108 |
| Provider Name: | SOPHIA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2024 |
| Last Updated: | 07/19/2024 |
Provider Practice Location
17861 VON KARMAN AVE
IRVINE
CA
926146213
Practice Location Phone/Fax
| Phone: | 9513653840 |
| Fax: |
Provider Mailing Location
996 ROYAL MARCO WAY
MARCO ISLAND
FL
341451829
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |