MEDICARE: SANTANA MARIE HENDRIX

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	106E00000X	Assistant Behavior Analyst		PA

General Provider Information

NPI Number	:	1982553137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTANA MARIE HENDRIX

Provider Business Mailing Address
First Line	:	145 POPLAR RIDGE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3737
Country	:	US
Telephone Number	:	878-670-1944
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 POPLAR RIDGE DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3737
Country	:	US
Telephone Number	:	878-670-1944
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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Directions to “ SANTANA MARIE HENDRIX ” Practice Location

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