Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophia Frederick

Individual provider Behavior Technician · NPI 1659938173

Sophia Frederick is a Behavior Technician in Petaluma, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

101 H St Ste L
Petaluma, CA 94952-5100
Phone: (866) 206-2008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1659938173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address4310 Sunnyside Dr, Riverside, CA 92506-2080

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