Healthcare Provider Details

I. General information

NPI: 1407299134
Provider Name (Legal Business Name): ELIZABETH SOTO B.A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH SOTO ELIZABETH SOTO

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 SW 132ND CT
MIAMI FL
33184-1917
US

IV. Provider business mailing address

1221 SW 132ND CT
MIAMI FL
33184-1917
US

V. Phone/Fax

Practice location:
  • Phone: 786-431-6667
  • Fax:
Mailing address:
  • Phone: 786-431-6667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberS300-220-76-7640
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: