MEDICARE: MR. JARDIEL A JAIME SANTISTEBAN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1790502888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JARDIEL A JAIME SANTISTEBAN

Provider Business Mailing Address
First Line	:	3317 ELIZABETH PL S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2036
Country	:	US
Telephone Number	:	561-797-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3317 ELIZABETH PL S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2036
Country	:	US
Telephone Number	:	561-797-6106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

Similar Medicare Providers

1730987801 — ALEJANDRO PEREZ GONZALEZ RBT
Practice Location Address:

3301 ELIZABETH PL S
LAKE WORTH, FL
33461-2036

Practice Phone: 561-851-2242
Practice Fax:

1750485553 — CVS PHARMACY INC
Practice Location Address:

4333 WESTERN CENTER BLVD
FORT WORTH, TX
76137-2036

Practice Phone: 817-232-1634
Practice Fax: 817-306-9352

1083852347 — MRS. MELANIE MARIE SCHNEIDMILLER FNP
Practice Location Address:

2115 HEMPHILL ST
FORT WORTH, TX
76110-2036

Practice Phone: 817-702-5155
Practice Fax: 817-926-0151

1316387566 — MS. JESSICA D. REYES LMSW
Practice Location Address:

4515 SANDAGE AVE
FORT WORTH, TX
76115-2036

Practice Phone: 817-929-5757
Practice Fax:

1497359277 — VY TRAN RPH
Practice Location Address:

4333 WESTERN CENTER BLVD
FORT WORTH, TX
76137-2036

Practice Phone: 817-232-1634
Practice Fax:

1356945117 — LAN-ANH TERESA TRAN PHARMD
Practice Location Address:

4333 WESTERN CENTER BLVD
FORT WORTH, TX
76137-2036

Practice Phone: 817-232-1634
Practice Fax:

Directions to “ MR. JARDIEL A JAIME SANTISTEBAN ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.