Marlen Diaz Santa
Behavior Technician in Port St Lucie, FL. Individual provider (NPI-1).
NPI number1982197406
StatusActive
Last updated in NPPESJun 9, 2018
Details
- NPI
- 1982197406
- Entity type
- Individual (NPI-1)
- Name
- Marlen Diaz Santa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2018
- Last updated
- Jun 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10850 S Us Highway 1Suite 2
Port St Lucie, FL 34952-6407
Phone 772-463-0444
Mailing address
10850 S Us Highway 1Suite 2
Port St Lucie, FL 34952-6407
Phone 772-463-0444
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