Individual
SOPHIA OUTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
300 CENTRAL AVE SW STE 1500E, ALBUQUERQUE, NM 87102-3293
(505) 369-1731
Mailing address
300 CENTRAL AVE SW STE 1500E, ALBUQUERQUE, NM 87102-3293
(505) 369-1731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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