| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGEL SORENSEN | 1578299517 | 2022-07-30 |
Angel Sorensen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578299517. Registration indicates Angel Sorensen 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 | Angel Sorensen |
| Practice Office Address | 3709 CITATION WAY STE 102 MEDFORD, OR US |
| Practice Office Telephone | 5415006532 |
| Mailing Address | 3709 CITATION WAY STE 102 MEDFORD, OR 975049022 US |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |