Provider Demographics
NPI:1497224885
Name:MORALES, SONIA ZUNIGA
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:ZUNIGA
Last Name:MORALES
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 1:14389 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94579-1028
Mailing Address - Country:US
Mailing Address - Phone:510-640-2018
Mailing Address - Fax:
Practice Address - Street 1:14389 ELM ST
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94579-1028
Practice Address - Country:US
Practice Address - Phone:510-640-2018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician