Provider Demographics
NPI:1407677255
Name:SOTO APONTE, ANA G (BCBA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:G
Last Name:SOTO APONTE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:GABRIELA
Other - Last Name:SOTO APONTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:210 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363
Mailing Address - Country:US
Mailing Address - Phone:404-316-9647
Mailing Address - Fax:
Practice Address - Street 1:1920 BRIARCLIFF RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:404-785-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-24-75375103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst