MEDICARE: REINA SOTO 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

General Provider Information

NPI Number	:	1326907072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REINA SOTO RBT

Provider Business Mailing Address
First Line	:	442 SAND CREEK DR
Second Line	:
City	:	CHESTERTON
State	:	IN
Zip	:	46304-1595
Country	:	US
Telephone Number	:	219-359-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	5521 W LINCOLN HWY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-1097
Country	:	US
Telephone Number	:	219-359-3272
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ REINA SOTO RBT” Practice Location

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