Provider Demographics
NPI:1861384208
Name:SOPHRON AUTISM SERVICES INC
Entity type:Organization
Organization Name:SOPHRON AUTISM SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-996-6468
Mailing Address - Street 1:2872 SYCAMORE WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5664
Mailing Address - Country:US
Mailing Address - Phone:669-224-9700
Mailing Address - Fax:
Practice Address - Street 1:711 BORELLO WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2501
Practice Address - Country:US
Practice Address - Phone:669-224-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health