Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790300762 Individual Practitioner Female Practitioner

Ali Sotolongo , BCBA

Behavior Analyst • Ponte Vedra Beach, FL

Professional Overview & Biography Verified Profile Summary

Ali Sotolongo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Ponte Vedra Beach, FL. Practice services are available at 171 CANAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

171 Canal Blvd

Ponte Vedra Beach, FL 320823607

Telephone 9048347581
Fax 9048347559
Associated Practice Facility / Clinic
🏢 Mandala Family Wellness Llc Facility NPI 1497262620

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ponte Vedra Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Ponte Vedra Beach, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Kierstyn Selig

Behavior Analyst

NPI 1164946786
NPI 1265804827

Bachelor of Science, Master of Education

Alexandra Hahn

Behavior Technician

NPI 1386261394
Erin Tyson , MED, LMHC

Counselor - Mental Health

NPI 1447141387

Master of Education, Licensed Mental Health Counselor

Nicole Theiler , MA

Counselor - Mental Health

NPI 1578991154

Master of Arts

Amber Smith

Behavior Analyst

NPI 1629618228

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address July 14, 2023

Registered at 171 CANAL BLVD, PONTE VEDRA BEACH, FL 320823607 (Tel: 9046739612)

👤
Provider Name / Credentials Updated July 14, 2023

Recorded as ALI SOTOLONGO, BCBA

📍
Updated Practice Location August 09, 2021

Registered at 171 CANAL BLVD, PONTE VEDRA BEACH, FL 320823607 (Tel: 9048347581)

📍
Updated Practice Location July 28, 2020

Registered at 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 322589486 (Tel: 8558326727)

📍
Updated Business Mailing Address July 28, 2020

Registered at 183 CAY EAST WAY, PONTE VEDRA BEACH, FL 320822200 (Tel: 9046739612)

NPI Profile Active June 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2020

Registered at 2432 CATTLEMANS TRL, SOUTH LAKE TAHOE, CA 961507437 (Tel: 9046739612)

📍
Updated Business Mailing Address June 15, 2020

Registered at 2432 CATTLEMANS TRL, SOUTH LAKE TAHOE, CA 961507437 (Tel: 9046739612)

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as ALI NATURALE, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Behavior Analyst

🟢
Initial NPI Registration & Enumeration June 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790300762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: July 14, 2023
Sole Proprietor: No

Mailing Address

171 Canal Blvd

Ponte Vedra Beach, FL 320823607

Phone: 9046739612

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.