Santiago, Lida

Santiago, Lida is an individual health care provider with primary practice located at 537 Deltona Blvd , Deltona FL 32725-8017. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Santiago, Lida can be contacted via phone (904) 878-8683.

Contact Information

Primary practice address
537 Deltona Blvd Deltona FL 32725-8017
Phone: (904) 878-8683
Fax: (386) 200-5752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1326682063
LBN Legal business name Santiago, Lida
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2019
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326682063 NPPES
Florida MEDICAID 771180

Popular Providers