Active NPI
Mariana De Los Santos, BCABA
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1467720748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-11-4334
- Practice address
- 722 Isom Rd Ste a
San Antonio, TX 78216-4026 - Phone
- (210) 415-9626
- Fax
- (866) 936-4615
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-11-4334 | TX | Primary |
Addresses
Primary practice location
722 Isom Rd Ste a
San Antonio, TX 78216-4026
Mailing address
722 Isom Rd Ste a
San Antonio, TX 78216-4026
Phone (210) 415-9626
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1467720748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 ISOM RD STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164026",
"telephone_number": "210-415-9626",
"fax_number": "866-936-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 ISOM RD STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164026",
"telephone_number": "210-415-9626",
"fax_number": "866-936-4615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "MARIANA",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "0-11-4334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.