Individual
SOPHIA ROSE ADDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
42 44TH ST SW, GRANDVILLE, MI 49418-2177
(844) 854-1116
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
Primary
7401003188
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2022
Last updated
01/23/2026
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