Provider Demographics
NPI:1902480767
Name:SONAR BEHAVIOR CLINIC INC
Entity type:Organization
Organization Name:SONAR BEHAVIOR CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHINELO
Authorized Official - Middle Name:UNOMA
Authorized Official - Last Name:UGHANZE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:832-287-6096
Mailing Address - Street 1:PO BOX 4175
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85366-2413
Mailing Address - Country:US
Mailing Address - Phone:928-276-4249
Mailing Address - Fax:928-276-4730
Practice Address - Street 1:250 W 24TH ST STE A
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8506
Practice Address - Country:US
Practice Address - Phone:928-276-4446
Practice Address - Fax:928-276-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty