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NPI Code Detail

MEDICARE: ASHLEY MICHELLE ALLOY SOTO

MEDICARE: ASHLEY MICHELLE ALLOY 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 : 1780442947
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MICHELLE ALLOY SOTO
Provider Business Mailing Address
First Line : 1200 CONCORD AVE STE 185
Second Line :
City : CONCORD
State : CA
Zip : 94520-4915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2368 MARITIME DR
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-3652
Country : US
Telephone Number : 805-379-1496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 01/09/2026

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Directions to “ ASHLEY MICHELLE ALLOY SOTO ” Practice Location

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