MEDICARE: ALINA MARIA SOTO CARRENO RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	106S00000X	Behavior Technician	18-68288	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841700614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA MARIA SOTO CARRENO RBT

Provider Business Mailing Address
First Line	:	8201 BYRON AVE APT 309
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4923
Country	:	US
Telephone Number	:	786-557-0352
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 BYRON AVE APT 309
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4923
Country	:	US
Telephone Number	:	786-557-0352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2017
Last Update Date	:	05/08/2023

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