Healthcare Provider Details

I. General information

NPI: 1699691428
Provider Name (Legal Business Name): BIANCA SANTINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BIANCA SANTINI VAN DEN HEUVEL

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5535 CURRITUCK DR STE 220
WILMINGTON NC
28403-1155
US

IV. Provider business mailing address

209 BELVEDERE DR
HOLLY RIDGE NC
28445-6954
US

V. Phone/Fax

Practice location:
  • Phone: 910-251-8990
  • Fax:
Mailing address:
  • Phone: 716-392-3473
  • 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: