Most Relevant Information
Provider Data
| NPI Number: | 1003636887 |
| Provider Name: | SUANNY JIMENEZ SANTANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB1121055 |
Most Important Dates
| Enumeration Date: | 10/15/2024 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
15231 SW 80TH ST
MIAMI
FL
331931375
Practice Location Phone/Fax
| Phone: | 7867165994 |
| Fax: |
Provider Mailing Location
15231 SW 80TH ST
MIAMI
FL
331931375
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |