Individual
MARIA Y SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1592 PINEBROOK PL, SANTA ROSA, CA 95403-4161
(707) 694-2061
Mailing address
1592 PINEBROOK PL, SANTA ROSA, CA 95403-4161
(707) 694-2061
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
03/19/2021
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