=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316733470
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BIANCA JOSEFINA SOLANO RBT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2025
-----------------------------------------------------
Last Update Date | 04/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6355 WINCHESTER BLVD
-----------------------------------------------------
City | CANAL WINCHESTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43110-2068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-834-1114
-----------------------------------------------------
Fax | 614-987-8643
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 VILLAGE SQ STE 210
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21210-1624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-525-4271
-----------------------------------------------------
Fax | 443-743-3863
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-24-385217
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------