Sophonisba Gathman, BCBA

NPI #1750744645 in Cranston, Rhode Island

Provider Information

NPI Number: 1750744645
Entity Type: Individual
Name: Sophonisba Gathman, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 178 NORWOOD AVE
City: Cranston
State: Rhode Island
ZIP Code: 02905-3923
Phone: (401) 406-0618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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