Provider Demographics
NPI:1861127409
Name:SOLIS, ANGELA MARIA (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14021 PEBBLE HILLS BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2851
Mailing Address - Country:US
Mailing Address - Phone:915-529-0701
Mailing Address - Fax:
Practice Address - Street 1:14021 PEBBLE HILLS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2851
Practice Address - Country:US
Practice Address - Phone:915-529-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX1-24-75788103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician