Individual
SOPHIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 SW 35TH PL # M-107, GAINESVILLE, FL 32608-9378
(407) 920-2087
Mailing address
3000 SW 35TH PL # M-107, GAINESVILLE, FL 32608-9378
(407) 920-2087
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/05/2023
Last updated
12/04/2025
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