Provider Demographics
NPI:1215743893
Name:SORIANO, ALEXIA DANIELLA
Entity type:Individual
Prefix:
First Name:ALEXIA
Middle Name:DANIELLA
Last Name:SORIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 SILVERSMITH PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5718
Mailing Address - Country:US
Mailing Address - Phone:954-699-6022
Mailing Address - Fax:
Practice Address - Street 1:1607 SILVERSMITH PL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5718
Practice Address - Country:US
Practice Address - Phone:954-699-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB958931103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst