Most Relevant Information
Provider Data
| NPI Number: | 1003323841 |
| Provider Name: | TANJA THERESIA SOTO LPC, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | BH003193 |
Most Important Dates
| Enumeration Date: | 01/02/2018 |
| Last Updated: | 02/23/2024 |
Provider Practice Location
1235 PENN AVE STE 206
WYOMISSING
PA
196102100
Practice Location Phone/Fax
| Phone: | 6103744963 |
| Fax: |
Provider Mailing Location
239 4TH AVE STE 1801
PITTSBURGH
PA
152221716
Provider Mailing Phone/Fax
| Phone: | 8332744325 |
| Fax: |