MEDICARE: SYDNEY HOFFMAN

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
1	103K00000X	Behavior Analyst	7401003238	MI

General Provider Information

NPI Number	:	1568137917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY HOFFMAN

Provider Business Mailing Address
First Line	:	876 HORACE BROWN DR
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1862
Country	:	US
Telephone Number	:	248-965-3916
Fax Number	:

Provider Business Practice Location Address
First Line	:	876 HORACE BROWN DR
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-1862
Country	:	US
Telephone Number	:	248-965-3916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	03/09/2026

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Directions to “ SYDNEY HOFFMAN ” Practice Location

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