Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soul Ties Behavioral Therapy Inc

Organization Behavior Analyst · NPI 1285481440

Soul Ties Behavioral Therapy Inc is a Behavior Analyst in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4075 Park Blvd Apt 504
San Diego, CA 92103-2671
Phone: (818) 916-2762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1285481440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyasia Williams Smith — Owner · (818) 916-2762
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing address4075 Park Blvd Apt 504, San Diego, CA 92103-2671

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