Individual
TIFFANY LYNN SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(855) 223-7123
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-56674
AZ
103K00000X
Behavior Analyst
Primary
BEH-000785
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-56674
BCBA CERTIFICATE
—
Enumeration date
07/29/2021
Last updated
06/17/2025
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