Individual
ANDREW SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3152 RED HILL AVE, SUITE #100, COSTA MESA, CA 92626-3418
(714) 881-0427
Mailing address
28177 ALESSANDRO BLVD, MORENO VALLEY, CA 92555-6101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
F4574978
CA
Other
Enumeration date
01/21/2017
Last updated
02/20/2017
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