Individual
ROMEO SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
Mailing address
1260 IROQUOIS AVE STE 306, NAPERVILLE, IL 60563-8549
(646) 280-5093
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071010236
IL
103TC0700X
Clinical Psychologist
20043350A
IN
103TC0700X
Clinical Psychologist
Primary
20043350B
IN
106E00000X
Assistant Behavior Analyst
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548791650
LICENSE
IL
01
—
20043350A
LICENSE
IN
01
—
20043350B
LICENSE
IN
Enumeration date
03/21/2017
Last updated
06/11/2020
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