Individual
SOPHIA DAPHNE TSANOTELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15290 SW ROYALTY PKWY, TIGARD, OR 97224-4059
(971) 256-4047
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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