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NPI Code Detail

MEDICARE: SOPHIA PERRY

MEDICARE: SOPHIA PERRY
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 Technician

General Provider Information

NPI Number : 1336082478
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA PERRY
Provider Business Mailing Address
First Line : 4401 CRENSHAW BLVD STE 215
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1200
Country : US
Telephone Number : 323-291-7100
Fax Number :
Provider Business Practice Location Address
First Line : 4401 CRENSHAW BLVD STE 215
Second Line :
City : LOS ANGELES
State : CA
Zip : 90043-1200
Country : US
Telephone Number : 323-291-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ SOPHIA PERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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