Soto Diaz, Roxxanne Lorraine

Soto Diaz, Roxxanne Lorraine is an sole proprietor health care provider with primary practice located at 10926 S Tryon St Ste E , Charlotte NC 28273-4154. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Soto Diaz, Roxxanne Lorraine can be contacted via phone (855) 201-5498.

Contact Information

Primary practice address
10926 S Tryon St Ste E Charlotte NC 28273-4154
Phone: (855) 201-5498
Fax: (813) 440-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-15-0838-04059 Florida

Profile Details

NPI number 1982002648
LBN Legal business name Soto Diaz, Roxxanne Lorraine
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2014
Last updated Dec 1st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982002648 NPPES
Florida MEDICAID 1982002648

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