Healthcare Provider Details

I. General information

NPI: 1700705043
Provider Name (Legal Business Name): BRENDA SANTIAGO ORTEGA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST FL 2
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

2332 GALIANO ST FL 2 FLOOR 2
CORAL GABLES FL
33134-5402
US

V. Phone/Fax

Practice location:
  • Phone: 305-497-0662
  • Fax:
Mailing address:
  • Phone: 305-497-0662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberS532060047620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: