| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDRIA SOUSA | 1780272278 | 2021-01-09 |
Andria Sousa is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780272278. Registration indicates Andria Sousa 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 | Andria Sousa |
| Practice Office Address | 360 ROUTE 101 STE 11 BEDFORD, NH US |
| Practice Office Telephone | 6034712522 |
| Practice Office Fax | 8777545246 |
| Mailing Address | 360 ROUTE 101 STE 11 BEDFORD, NH 031105031 US |
| Business Telephone | 6034712522 |
| Business Fax | 8777545246 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |