Provider Demographics
NPI:1013408285
Name:HOKE, SANDRA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:HOKE
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 1:1075 WOODWARD AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-4434
Mailing Address - Country:US
Mailing Address - Phone:906-828-2088
Mailing Address - Fax:906-771-8080
Practice Address - Street 1:1075 WOODWARD AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:KINGSFORD
Practice Address - State:MI
Practice Address - Zip Code:49802-4434
Practice Address - Country:US
Practice Address - Phone:906-828-2088
Practice Address - Fax:906-771-8080
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst