Provider Demographics
NPI:1750128898
Name:SCHRAEPFER, SOPHIA KRISTINE
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:KRISTINE
Last Name:SCHRAEPFER
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 1:8737 E RIVER FORK RD
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53544-9416
Mailing Address - Country:US
Mailing Address - Phone:608-574-9733
Mailing Address - Fax:
Practice Address - Street 1:11 13TH AVE
Practice Address - Street 2:
Practice Address - City:NEW GLARUS
Practice Address - State:WI
Practice Address - Zip Code:53574-8919
Practice Address - Country:US
Practice Address - Phone:608-424-8735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician