Individual
SOPHONISBA GATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 406-0618
(401) 921-1415
Mailing address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 406-0618
(401) 921-1415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00062
RI
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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