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NPI Code Detail

MEDICARE: SOPHIE KAMPS BCBA

MEDICARE: SOPHIE KAMPS BCBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1679936249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIE KAMPS BCBA
Provider Business Mailing Address
First Line : 3100 DUNDEE RD STE 704
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-2442
Country : US
Telephone Number : 847-498-5437
Fax Number : 312-893-2118
Provider Business Practice Location Address
First Line : 3113 W BELTLINE HWY STE 300
Second Line :
City : MADISON
State : WI
Zip : 53713-2934
Country : US
Telephone Number : 608-819-6810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2016
Last Update Date : 10/07/2025

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