Individual
STEPHANIE MARIE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 BAY CT, SAINT CLOUD, FL 34769-5908
(787) 530-0731
Mailing address
3605 BAY CT, SAINT CLOUD, FL 34769-5908
(787) 530-0731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-306600
FL
2355S0801X
Speech-Language Assistant
Primary
SI4914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-306600
RBT
FL
01
—
SI4914
SPEECH LANGUAGE PATHOLOGY ASSISTANT
FL
Enumeration date
06/27/2021
Last updated
12/26/2023
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