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Individual
ALVIN SANTIAGO
Active
Individual
ALVIN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1104368844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2536339
DRIVER LICENSE
CA
Enumeration date
04/26/2022
Last updated
07/09/2025
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