Individual
LISA J SANTISTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WYCKOFF PL APT 6B, WOODMERE, NY 11598-2167
(516) 754-8518
Mailing address
141 WYCKOFF PL APT 6B, WOODMERE, NY 11598-2167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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