Individual provider Active NPI

Laura Morente Santiesteban

  • Behavior Technician
  • Plant City, FL
National Provider Identifier
1053146753
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24374510 Issued in FL
Practice address
504 E Baker St Ste 1
Plant City, FL 33563-3558
Phone
(813) 704-6297
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24374510 FL Primary

Addresses

Primary practice location

504 E Baker St Ste 1
Plant City, FL 33563-3558

Mailing address

9468 Windermere Lake Dr Apt 201
Riverview, FL 33578-2535
Phone (813) 502-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24374510FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Behavior Analysis Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

504 E Baker St
Ste 1
Plant City, FL 33563
Phone (813) 704-6297

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1053146753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9468 WINDERMERE LAKE DR APT 201",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782535",
            "telephone_number": "813-502-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E BAKER ST STE 1",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633558",
            "telephone_number": "813-704-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENTE SANTIESTEBAN",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24374510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.