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NPI Code Detail

MEDICARE: CASSANDRA SOTO

MEDICARE:   CASSANDRA  SOTO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1740967835
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA SOTO
Provider Business Mailing Address
First Line : 235 E MOHAVE RD APT 10A
Second Line :
City : TUCSON
State : AZ
Zip : 85705-3670
Country : US
Telephone Number : 520-675-8651
Fax Number :
Provider Business Practice Location Address
First Line : 235 E MOHAVE RD APT 10A
Second Line :
City : TUCSON
State : AZ
Zip : 85705-3670
Country : US
Telephone Number : 520-675-8651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 06/13/2026

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Directions to “ CASSANDRA SOTO ” Practice Location

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