Healthcare Provider Details

I. General information

NPI: 1285563007
Provider Name (Legal Business Name): CLAUDIA SANTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MERRITT BLVD
TRUMBULL CT
06611-5450
US

IV. Provider business mailing address

49 MENCEL CIR UNIT D
BRIDGEPORT CT
06610-1518
US

V. Phone/Fax

Practice location:
  • Phone: 203-589-8256
  • Fax:
Mailing address:
  • Phone: 347-755-9611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: