Individual
RAQUEL ESTHER SANTALIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBS
Contact information
Practice address
961 MARCON BLVD STE 312, ALLENTOWN, PA 18109-9373
(610) 266-0610
Mailing address
1221 ECHO CIR, WHITEHALL, PA 18052-4640
(610) 905-1985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55414
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-55414
BOARD CERTIFIED BEHAVIOR ANALYST (BCBA)
—
01
—
BH005173
LISCENSED BEHAVIOR SPECIALIST
PA
Enumeration date
01/04/2022
Last updated
01/04/2022
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