Nora Sofia Edge

NPI #1073043410 in Port Orchard, Washington

Provider Information

NPI Number: 1073043410
Entity Type: Individual
Name: Nora Sofia Edge
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2017
Last Updated: Jun 18, 2017

Practice Location

Address: 1730 POTTERY AVE STE 100
City: Port Orchard
State: Washington
ZIP Code: 98366-2565
Phone: (360) 443-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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