Individual
MADISON SOPHIA-LORRAINE MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2256 62ND AVE, SACRAMENTO, CA 95822-4631
(279) 786-1028
Mailing address
2256 62ND AVE, SACRAMENTO, CA 95822-4631
(279) 786-1028
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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