=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033978275
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SONDER LEARNING CENTERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2024
-----------------------------------------------------
Last Update Date | 03/18/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4600 NORTHGATE BLVD STE 100
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95834-1121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-798-5094
-----------------------------------------------------
Fax | 916-365-9850
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4600 NORTHGATE BLVD STE 100
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95834-1121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-798-5094
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | SANGEETA DATTA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 510-798-5094
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------