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NPI Code Detail

MEDICARE: ANTONY SOSA

MEDICARE:   ANTONY  SOSA
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 : 1538021233
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONY SOSA
Provider Business Mailing Address
First Line : 5252 ORANGE AVE STE 109
Second Line :
City : CYPRESS
State : CA
Zip : 90630-2967
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5252 ORANGE AVE STE 109
Second Line :
City : CYPRESS
State : CA
Zip : 90630-2967
Country : US
Telephone Number : 657-214-8014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ ANTONY SOSA ” Practice Location

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