Individual
AMETHYST SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12315 LAKE UNDERHILL RD, ORLANDO, FL 32828-4507
(321) 972-4039
Mailing address
4448 TRESCOTT DR, ORLANDO, FL 32817-3158
(689) 251-6580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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