Provider Demographics
NPI:1588555775
Name:AWAWDEH, SONIA N
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:N
Last Name:AWAWDEH
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 1:7622 ASTON PEAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-7352
Mailing Address - Country:US
Mailing Address - Phone:210-362-0482
Mailing Address - Fax:
Practice Address - Street 1:7622 ASTON PEAK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-7352
Practice Address - Country:US
Practice Address - Phone:210-362-0482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty