Provider Demographics
NPI:1679045553
Name:SOTO, KARINA (EDD)
Entity type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 AMHERST ST STE B
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7619 BRANDFORD PLACE
Practice Address - Street 2:STE 120
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77476-7217
Practice Address - Country:US
Practice Address - Phone:832-886-8793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLBACB368666106S00000X
FL1-22-60096103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician