Jesenia Soto, BCBA
Behavior Analyst in Detroit, MI. Individual provider (NPI-1).
NPI number1669915849
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1669915849
- Entity type
- Individual (NPI-1)
- Name
- Jesenia Soto
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2016
- Last updated
- Aug 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
79 W Alexandrine StDetroit, MI 48201-2015
Phone 313-831-5535 · Fax 313-831-2608
Mailing address
79 W Alexandrine StDetroit, MI 48201-2015
Phone 313-831-5535 · Fax 313-831-2608
Other practice locations
31557 Schoolcraft Rd Ste 200
Livonia, MI 48150-1848
Livonia, MI 48150-1848
Phone 734-474-2958
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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