Individual
SOPHIA M SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 OAK ST APT 1, EUGENE, OR 97401-4779
(650) 465-2793
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10248757
OR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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