NPI 1003534199 · live from the CMS NPI Registry
Sophia Rose Addeo, MA
Behavior Analyst in Grandville, MI. National Provider Identifier 1003534199, active.
NPI record
| NPI | 1003534199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 42 44th St Sw, Grandville, MI 49418 |
| Practice phone | 844-854-1116 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134 |
| Enumerated | August 16, 2022 |
| Last updated | January 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 7401003188 (MI) |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.