Active NPI
Corrine Celine Soto
- Behavior Analyst
- San Dimas, CA
National Provider Identifier
1699530493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 675 Cliffside Dr
San Dimas, CA 91773-2957 - Phone
- (626) 940-5180
- NPI assigned
- Feb 20, 2024
- Sex
- Female
- 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 Analyst | 103K00000X | CA | Primary |
Addresses
Primary practice location
675 Cliffside Dr
San Dimas, CA 91773-2957
Mailing address
404 Cadrow Ave
La Puente, CA 91744-4605
Phone (626) 214-6745
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1699530493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 CADROW AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917444605",
"telephone_number": "626-214-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 CLIFFSIDE DR",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732957",
"telephone_number": "626-940-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "CORRINE",
"middle_name": "CELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.