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Individual
WANDA SOTO
Active
Individual
WANDA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52560
FL
106S00000X
Behavior Technician
RBT-18-59147
AZ
222Q00000X
Developmental Therapist
RBT-15-06090
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H01346152
PRIVATE INSURANCE
HI
Enumeration date
08/26/2016
Last updated
10/11/2021
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