Individual
ELIZA C SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
(931) 896-2737
Mailing address
3441 FORT CAMPBELL BLVD STE F3, CLARKSVILLE, TN 37042-6684
(931) 449-0063
(931) 896-2737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-92051
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-92051
BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
—
Enumeration date
08/13/2019
Last updated
09/10/2020
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