NPI 1033082458

Sophia Koukourdelis, RBT

Practitioner Behavior Technician Wall Township, NJ

Practice location

Address: 1800 New Jersey 34 Building No. 3, Suite 301b, Wall Township, NJ 07719
Phone: (732) 749-8317

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in New Jersey →

Registry record

NPI: 1033082458
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2025
Record last updated: 24 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.