Provider Demographics
NPI:1154209187
Name:SOTO ROMAN, ZULESKA (RBT)
Entity type:Individual
Prefix:
First Name:ZULESKA
Middle Name:
Last Name:SOTO ROMAN
Suffix:
Gender:X
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 WESTERLY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8594
Mailing Address - Country:US
Mailing Address - Phone:615-663-8872
Mailing Address - Fax:615-628-8935
Practice Address - Street 1:3031 WESTERLY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8594
Practice Address - Country:US
Practice Address - Phone:615-663-8872
Practice Address - Fax:615-628-8935
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-25-467036106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician