Ilse Soto, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51963 Issued in CA

Practice address

510 Civic Center Dr Ste D
Vista, CA 92084-6169

Phone

(760) 691-9622

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Avid ABA Services

  • Community/Behavioral Health Agency
  • Escondido, CA
  • NPI 1205370806
  NPD (past)
• Avid in-Home Respite Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Escondido, CA
  • NPI 1548724321
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1831607977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W GRAND AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252502",
            "telephone_number": "760-691-9622",
            "fax_number": "442-999-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CIVIC CENTER DR STE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846169",
            "telephone_number": "760-691-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "562 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920252502",
            "country_code": "US",
            "telephone_number": "760-691-9622",
            "fax_number": "442-999-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ILSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-51963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Soontornvachrin
• Allison Bacala Soriano, FNP-BC
• Paula Sorrentino, PA-C
• Jose M Sosa, DDS
• Kayla Sotelo
• Lorraine K Souice, CCAPP
• Sourcing Solutions International, LLC
• Trisha K Souza, LMFT
• Victor Souza, M.D.
• Thoralinda S. Soyland, D.C.

• Behavior Analyst in Vista, CA
• Providers in Vista, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.