Most Relevant Information
Provider Data
| NPI Number: | 1003339326 |
| Provider Name: | SUSSEL BUENO SANTANA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2500 NW 79TH AVE STE 116
DORAL
FL
331221075
Practice Location Phone/Fax
| Phone: | 3055917898 |
| Fax: |
Provider Mailing Location
2500 NW 79TH AVE STE 116
DORAL
FL
331221075
Provider Mailing Phone/Fax
| Phone: | 3055917898 |
| Fax: |