Sophia Daphne Tsanotelis

NPI #1760012983 in Tigard, Oregon

Provider Information

NPI Number: 1760012983
Entity Type: Individual
Name: Sophia Daphne Tsanotelis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 15290 SW ROYALTY PKWY
City: Tigard
State: Oregon
ZIP Code: 97224-4059
Phone: (971) 256-4047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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