Active NPI
Simbry Soto
- Behavior Technician
- Mesa, AZ
National Provider Identifier
1023960648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-377664
- Practice address
- 4838 E Baseline Rd Ste 118
Mesa, AZ 85206-4674 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Feb 14, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-377664 | AZ | Primary |
Addresses
Primary practice location
4838 E Baseline Rd Ste 118
Mesa, AZ 85206-4674
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-377664 | AZ | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aces 2020, LLC | Past | Accepting new patients | |
| Aces 2020, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1295697456
-
- Community/Behavioral Health Agency
- Queen Creek, AZ
- NPI 1679489397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771027200000",
"number": "1023960648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740780",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4838 E BASELINE RD STE 118",
"city": "MESA",
"state": "AZ",
"postal_code": "852064674",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "SIMBRY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-14",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-24-377664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.