Provider Demographics
NPI:1245125772
Name:SOSA, MAIA
Entity type:Individual
Prefix:
First Name:MAIA
Middle Name:
Last Name:SOSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MAIA
Other - Middle Name:
Other - Last Name:SCARBRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:816 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6416
Mailing Address - Country:US
Mailing Address - Phone:575-495-9911
Mailing Address - Fax:
Practice Address - Street 1:816 9TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6416
Practice Address - Country:US
Practice Address - Phone:575-495-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician