| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SOPHIA BENCH | 1356128755 | 2023-09-11 |
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 Type | Individual |
| Provider Name | Sophia Bench |
| Practice Office Address | 4625 W KL AVE KALAMAZOO, MI US |
| Practice Office Telephone | 2693590689 |
| Mailing Address | 215 RED COACH DR MISHAWAKA, IN 465458307 US |
| Business Telephone | 2693590689 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |