Samantha Frances Santiago

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8390 Champions Gate Blvd Ste 110
Champions Gate, FL 33896-8311

Phone

(407) 743-0723

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tenn'S Applied Behavior Science, LLC.

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1285151902
  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1609449131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MAITLAND CENTER PKWY STE 240",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517415",
            "telephone_number": "407-574-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD STE 110",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968311",
            "telephone_number": "407-743-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Majestic Eagle Pl",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347461915",
            "country_code": "US",
            "telephone_number": "386-473-5648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "SAMANTHA",
        "middle_name": "FRANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth Saionzkowski
• Rafaella Samico Petrini, BEHAVIOR TECHNICIAN
• Sarai Grace Sanabria, BT
• Tiffany Helen Sang-Wong
• Kayla Skylene Santiago
• Pauline Marie Santorello
• Jamie Lee Serrano, BT
• Adam Shemony, PSY.D.
• Sheridan Radiology Services of Central Florida Inc
• Alexis Michelle Simmons, BEHAVIOR TECHNICIAN

• Behavior Technician in Champions Gate, FL
• Providers in Champions Gate, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.