Provider Demographics
NPI:1912768938
Name:BEL, SASHA SHOPHIA
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:SHOPHIA
Last Name:BEL
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 1:7943 LA CORUNA DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5013
Mailing Address - Country:US
Mailing Address - Phone:916-889-6793
Mailing Address - Fax:
Practice Address - Street 1:2562 OLD EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0378
Practice Address - Country:US
Practice Address - Phone:916-889-6793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst