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NPI Code Detail

MEDICARE: ANA IDALIA SANTIAGO FONSECA

MEDICARE: ANA IDALIA SANTIAGO FONSECA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst0-23-14646FL
2103K00000XBehavior Analyst1-24-71148FL
3106S00000XBehavior TechnicianRBT-21-188546FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558014613
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA IDALIA SANTIAGO FONSECA
Provider Business Mailing Address
First Line : 6421 N FLORIDA AVE
Second Line : SUITE D-1458
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 6421 N FLORIDA AVE
Second Line : SUITE D-1458
City : TAMPA
State : FL
Zip : 33604-6007
Country : US
Telephone Number : 813-305-2867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2022
Last Update Date : 12/15/2025

Similar Medicare Providers

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Practice Location Address:
6421 N FLORIDA AVE STE D-1458
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Practice Fax: 772-675-9100
1275497141 — MARY KARLA CRUZ
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Practice Fax:
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Practice Location Address:
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TAMPA, FL
33604-6007
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Practice Fax:
1609285832 — ERIN O'CONNOR
Practice Location Address:
6421 N FLORIDA AVE , SUITE D-1458
TAMPA, FL
33604-6007
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Practice Fax: 772-675-9100
1992671259 — MS. WENDY LEIGH LAWHORNE MA, RBT
Practice Location Address:
6421 N FLORIDA AVE STE D-1458
TAMPA, FL
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1265396899 — SANAE SPEED
Practice Location Address:
6421 N FLORIDA AVE STE D-1458
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33604-6007
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Practice Fax:

Directions to “ ANA IDALIA SANTIAGO FONSECA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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