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NPI Code Detail

MEDICARE: SOPHIA WILLIAMS

MEDICARE: SOPHIA WILLIAMS
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-19-105711FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932743531
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA WILLIAMS
Provider Business Mailing Address
First Line : 67 HIKER ST
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-8826
Country : US
Telephone Number : 850-419-9693
Fax Number :
Provider Business Practice Location Address
First Line : 67 HIKER ST
Second Line :
City : SANTA ROSA BEACH
State : FL
Zip : 32459-8826
Country : US
Telephone Number : 850-419-9693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 03/18/2022

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Directions to “ SOPHIA WILLIAMS ” Practice Location

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