Provider Demographics
NPI:1811762750
Name:SOLANO SPED TUTORING
Entity type:Organization
Organization Name:SOLANO SPED TUTORING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLANO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBC
Authorized Official - Phone:760-662-7511
Mailing Address - Street 1:12588 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-2708
Mailing Address - Country:US
Mailing Address - Phone:760-662-7511
Mailing Address - Fax:
Practice Address - Street 1:12588 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-2708
Practice Address - Country:US
Practice Address - Phone:760-662-7511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty