Individual
MRS. KIMBERLI BETH SANTA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
8550 UNITED PLAZA BLVD, STE 702-N, BATON ROUGE, LA 70809-2256
(888) 880-9270
(954) 342-0273
Mailing address
500 FAIRWAY DR, #102, DEERFIELD BEACH, FL 33441-1814
(888) 880-9270
(954) 342-0273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13596319
CAQH#
—
01
—
1861666737
NPI #
—
01
—
43-2086187
TAX ID#
—
Enumeration date
07/29/2015
Last updated
07/29/2015
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