Individual
YEXENIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
(732) 204-1635
Mailing address
8876 A C SKINNER PKWY UNIT 4314, JACKSONVILLE, FL 32256-0889
(559) 777-3740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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