Sophia Jae Pruitt

NPI #1497543771 in Maple Valley, Washington

Provider Information

NPI Number: 1497543771
Entity Type: Individual
Name: Sophia Jae Pruitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 28, 2025
Last Updated: Apr 28, 2025

Practice Location

Address: 22415 SE 231ST ST STE 10322415
City: Maple Valley
State: Washington
ZIP Code: 98038-5000
Phone: (253) 409-5861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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