Sophia Rene Pavese

NPI #1881434918 in Benton Harbor, Michigan

Provider Information

NPI Number: 1881434918
Entity Type: Individual
Name: Sophia Rene Pavese
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 1651 E NICKERSON AVE
City: Benton Harbor
State: Michigan
ZIP Code: 49022-2469
Phone: (269) 876-5697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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