Healthcare Provider Details

I. General information

NPI: 1679487268
Provider Name (Legal Business Name): SOPHIA HUNZIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W MAIN ST
MOUNT STERLING OH
43143-1213
US

IV. Provider business mailing address

627 SHERIDAN DR
LANCASTER OH
43130-2770
US

V. Phone/Fax

Practice location:
  • Phone: 614-735-6925
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: