Michelle Ranee Soto, BA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

100709510A Issued in OK

Practice address

15 Monroe St NE
Ardmore, OK 73401-2025

Phone

(580) 226-1838

Fax

(580) 223-7856

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Ranee Dewberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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.

• Community Youth Services of Southern Oklahoma, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Ardmore, OK
  • NPI 1003949439
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1922358233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MONROE ST NE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012025",
            "telephone_number": "580-226-1838",
            "fax_number": "580-223-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MONROE ST NE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012025",
            "telephone_number": "580-226-1838",
            "fax_number": "580-223-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "MICHELLE",
        "middle_name": "RANEE",
        "name_prefix": "Mrs.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "100709510A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DEWBERRY",
            "middle_name": "RANEE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gregory Brian Somerville, D.C.
• Manya Somiah, MD
• Southbrook Healthcare, Inc.
• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Family Services, Inc.
• Jade Southerland
• Southern Ok. Ambulance Service, Inc.

• Behavior Analyst in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.