Provider Demographics
NPI:1902590029
Name:SOTER, RENEE (RBT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SOTER
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 1:1717 LOVE RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7807
Mailing Address - Country:US
Mailing Address - Phone:704-891-4349
Mailing Address - Fax:
Practice Address - Street 1:1717 LOVE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7807
Practice Address - Country:US
Practice Address - Phone:704-891-4349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst