MEDICARE: SONIA TOBOSO

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	106S00000X	Behavior Technician
2	222Q00000X	Developmental Therapist

General Provider Information

NPI Number	:	1891209946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA TOBOSO

Provider Business Mailing Address
First Line	:	6824 NW 179TH ST APT 103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7421
Country	:	US
Telephone Number	:	786-261-8474
Fax Number	:	305-742-2190

Provider Business Practice Location Address
First Line	:	6824 NW 179TH ST APT 103
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-7421
Country	:	US
Telephone Number	:	786-261-8474
Fax Number	:	305-742-2190

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

Provider Enumeration Date	:	11/28/2017
Last Update Date	:	04/26/2022

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Directions to “ SONIA TOBOSO ” Practice Location

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