Individual
ANA IDALIA SANTIAGO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 N FLORIDA AVE, SUITE D-1458, TAMPA, FL 33604-6007
(813) 305-2867
Mailing address
6421 N FLORIDA AVE, SUITE D-1458, TAMPA, FL 33604-6007
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-71148
FL
106E00000X
Assistant Behavior Analyst
0-23-14646
FL
106S00000X
Behavior Technician
RBT-21-188546
FL
Other
Enumeration date
01/30/2022
Last updated
12/15/2025
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