Provider Demographics
NPI:1407310451
Name:SOTO, CAITLIN AUDREY (RBT)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:AUDREY
Last Name:SOTO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 CHERRY RDG
Mailing Address - Street 2:
Mailing Address - City:FLORESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78114-4217
Mailing Address - Country:US
Mailing Address - Phone:830-216-0241
Mailing Address - Fax:
Practice Address - Street 1:679 CHERRY RDG
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-4217
Practice Address - Country:US
Practice Address - Phone:830-216-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-53913247200000X
TX1-22-57633103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other