Active NPI
Tia Soldano
- Behavior Technician
- Queen Creek, AZ
National Provider Identifier
1821814575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 69 W. Love Rd
Queen Creek, AZ 85143 - Phone
- (602) 502-9275
- NPI assigned
- Nov 26, 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
69 W. Love Rd
Queen Creek, AZ 85143
Mailing address
3244 Cascades TRL SE
Rio Rancho, NM 87124-3659
Phone (602) 502-9275
Other names 1
- Tia Wolford
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": "1732579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1821814575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 CASCADES TRL SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243659",
"telephone_number": "602-502-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 W. LOVE RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85143",
"telephone_number": "602-502-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLDANO",
"first_name": "TIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-26",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIA",
"last_name": "WOLFORD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.