MEDICARE: DAYANA SANTANDER MORALES

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	:	1962943159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYANA SANTANDER MORALES

Provider Business Mailing Address
First Line	:	3216 W CHARLESTON BLVD STE C
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1983
Country	:	US
Telephone Number	:	702-498-8903
Fax Number	:

Provider Business Practice Location Address
First Line	:	8620 PEACE WAY
Second Line	:	1089
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6861
Country	:	US
Telephone Number	:	702-498-8903
Fax Number	:

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

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	12/09/2021

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Directions to “ DAYANA SANTANDER MORALES ” Practice Location

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