Individual
MARY SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(925) 305-9413
Mailing address
1924 CINNAMON RIDGE DR, OAKLEY, CA 94561-1557
(925) 305-9413
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64310
CA
106S00000X
Behavior Technician
18-47533
CA
Other
Enumeration date
05/02/2018
Last updated
11/13/2024
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