Search › California › 103K00000X
Sophie Prudencio, MA, BCBA
NPI 1942541693 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1411 W 190th St Ste 110
Gardena, CA 90248 - Phone
- (714) 834-1111
- Organisation at this address
- Drew Child Development Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 315
Additional practice sites
- 17609 Ventura Blvd Ste 215, Encino, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California