Provider Demographics
NPI:1689461543
Name:BEHIMER, SOPHIA KATHERINE
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:KATHERINE
Last Name:BEHIMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 SODA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-6317
Mailing Address - Country:US
Mailing Address - Phone:775-426-9871
Mailing Address - Fax:
Practice Address - Street 1:971 W WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2631
Practice Address - Country:US
Practice Address - Phone:775-426-9871
Practice Address - Fax:775-431-2992
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician