Provider Demographics
NPI:1659036861
Name:SOLER, SLOANE GREY (RBT)
Entity Type:Individual
Prefix:
First Name:SLOANE
Middle Name:GREY
Last Name:SOLER
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 1:503 GEORGE BUSH DR W APT 5422
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-2979
Mailing Address - Country:US
Mailing Address - Phone:832-984-7927
Mailing Address - Fax:
Practice Address - Street 1:14426 MEDICAL COMPLEX DR STE 106
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6253
Practice Address - Country:US
Practice Address - Phone:281-205-8421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-21-190706106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician