Individual
JOHANA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 EDMUND RD, WEST PARK, FL 33023-5233
(786) 728-5461
Mailing address
117 EDMUND RD, WEST PARK, FL 33023-5233
(754) 256-1587
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13990
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/01/2022
Last updated
05/19/2023
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