Sophia Bench

NPI Registration Record

Provider / OrganizationNPIDate Certified
SOPHIA BENCH13561287552023-09-11

Sophia Bench is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356128755. Registration indicates Sophia Bench is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )

Entity TypeIndividual
Provider Name Sophia Bench
Practice Office Address4625 W KL AVE
Practice Office Telephone2693590689
Mailing Address215 RED COACH DR
MISHAWAKA, IN 465458307 US
Business Telephone2693590689
HPT Codes
License No
106S00000X PRIMARY
Behavioral Health & Social Service Providers
Behavior Technician
Behavior Technician
Behavioral Health & Social Service Providers
Behavior Technician
OPI Codes
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