Healthcare Provider Details

I. General information

NPI: 1629738034
Provider Name (Legal Business Name): SOTO TRAINING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 HERITAGE VILLAGE PLZ
GAINESVILLE VA
20155-3052
US

IV. Provider business mailing address

6764 JEFFERSON ST
HAYMARKET VA
20169-2904
US

V. Phone/Fax

Practice location:
  • Phone: 571-445-0484
  • Fax: 571-775-3845
Mailing address:
  • Phone: 571-445-0484
  • Fax: 571-774-3845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NYDIA SOTO
Title or Position: CEO CO FOUNDER
Credential: BCBA, LBA
Phone: 571-445-0484