Provider Demographics
NPI:1174212906
Name:SOLORIO, YVONNE
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:SOLORIO
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 1:2807 YULUPA AVE APT 25
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-8635
Mailing Address - Country:US
Mailing Address - Phone:707-800-2837
Mailing Address - Fax:
Practice Address - Street 1:850 W 9TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95401-5349
Practice Address - Country:US
Practice Address - Phone:707-800-2837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst