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NPI Code Detail

MEDICARE: SOPHIA GROVER RBT

MEDICARE:   SOPHIA  GROVER  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-514424GA

General Provider Information

NPI Number : 1386596088
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA GROVER RBT
Provider Business Mailing Address
First Line : 644 TALLULAH TRL
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7625
Country : US
Telephone Number : 478-225-2179
Fax Number :
Provider Business Practice Location Address
First Line : 644 TALLULAH TRL
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7625
Country : US
Telephone Number : 478-225-2179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ SOPHIA GROVER RBT” Practice Location

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