| Sovereign Care Services | |
|
4 Princess Rd Ste 207 Lawrenceville NJ 08648-2322 | |
| (609) 883-1587 | |
| Not Available |
| Full Name | Sovereign Care Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Princess Rd Ste 207, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Anneka Ricketts (CEO) |
| Authorized Official Contact | 6095758758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Care Services 4 Princess Rd Ste 207 Lawrenceville NJ 08648-2322 Ph: (609) 883-1587 | Sovereign Care Services 4 Princess Rd Ste 207 Lawrenceville NJ 08648-2322 Ph: (609) 883-1587 |
| NPI Number | 1780290445 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 07/12/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780290445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
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