Individual
MARTHA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
123 FRANKLIN AVE, STRATFORD, CT 06614
(203) 522-1368
Mailing address
123 FRANKLIN AVE, STRATFORD, CT 06614-5239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
453
CT
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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