Healthcare Provider Details

I. General information

NPI: 1083533533
Provider Name (Legal Business Name): JASMINE SANTANA SENA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 ARTHUR ST APT 1
SALEM MA
01970-2801
US

IV. Provider business mailing address

13 ARTHUR ST APT 1
SALEM MA
01970-2801
US

V. Phone/Fax

Practice location:
  • Phone: 978-818-4067
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberSA4800365
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: