Provider Demographics
NPI:1750012621
Name:WINNETT, ALLISHIA KERYNN
Entity type:Individual
Prefix:
First Name:ALLISHIA
Middle Name:KERYNN
Last Name:WINNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISHIA
Other - Middle Name:KERYNN
Other - Last Name:SOLDANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT, CBT
Mailing Address - Street 1:268 BUSH ST STE 3039
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3503
Mailing Address - Country:US
Mailing Address - Phone:888-362-3970
Mailing Address - Fax:508-882-7687
Practice Address - Street 1:268 BUSH ST STE 3039
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3503
Practice Address - Country:US
Practice Address - Phone:888-362-3970
Practice Address - Fax:508-882-7687
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician