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NPI Code Detail

MEDICARE: SOPHIA EBY

MEDICARE: SOPHIA EBY
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 : 1548124431
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA EBY
Provider Business Mailing Address
First Line : PO BOX 360595
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-6595
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Provider Business Practice Location Address
First Line : 9171 BALTIMORE NATIONAL PIKE
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-3944
Country : US
Telephone Number : 718-215-5311
Fax Number : 718-865-5165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ SOPHIA EBY ” Practice Location

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