Healthcare Provider Details

I. General information

NPI: 1114722477
Provider Name (Legal Business Name): ANYURISA SOTO-WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8454 N 90TH ST
SCOTTSDALE AZ
85258-4478
US

IV. Provider business mailing address

1801 E CAMELBACK RD STE 102
PHOENIX AZ
85016-4165
US

V. Phone/Fax

Practice location:
  • Phone: 602-767-7942
  • Fax:
Mailing address:
  • Phone: 602-767-7942
  • Fax: 855-915-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: