Provider Demographics
NPI:1487359469
Name:SONGER, SONYA NICOLE
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:NICOLE
Last Name:SONGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7465 SEINE AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-6527
Mailing Address - Country:US
Mailing Address - Phone:951-961-7643
Mailing Address - Fax:
Practice Address - Street 1:7465 SEINE AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-6527
Practice Address - Country:US
Practice Address - Phone:951-961-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty