Individual provider · Type 1 NPI

Sophia Mogollon

Behavior Analyst · San Mateo, CA

NPI number 1376421974 Active

Practice location

813 Jefferson Ct Apt 4
San Mateo, CA 94401-2227

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1376421974

Sophia Mogollon's National Provider Identifier is 1376421974, issued on Aug 22, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Mateo, CA. The record was last updated on Aug 22, 2025.