Active NPI
Ania Maria Santiago Fortun
- Behavior Technician
- Tampa, FL
National Provider Identifier
1962975854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3201 Carlton Arms Dr Apt 14a
Tampa, FL 33614-4139 - Phone
- (813) 704-8881
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
3201 Carlton Arms Dr Apt 14a
Tampa, FL 33614-4139
Mailing address
3201 Carlton Arms Dr Apt 14a
Tampa, FL 33614-4139
Phone (813) 704-8881
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": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1962975854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 CARLTON ARMS DR APT 14A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336144139",
"telephone_number": "813-704-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CARLTON ARMS DR APT 14A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336144139",
"telephone_number": "813-704-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO FORTUN",
"first_name": "ANIA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Ricardo Santayana Jr., M.D.
- Jaime M Santeramo, O.D.
- Sonny Evangelista Santiago Acevedo
- Yosan Santiago Fernandez
- Ana Idalia Santiago Fonseca
- Mayte Santiago Gonzalez
- Cristian Santiago Loriga
- Kennie Jose Santiago Rojas, SA-C
- Israel Santiago Vazquez, PHARMD, BCMTMS
- Hector Eduardo Santiago-Belledonne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.