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NPI Code Detail

MEDICARE: ALIYAH SANTIAGO-CARRERO

MEDICARE: ALIYAH SANTIAGO-CARRERO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1013774850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIYAH SANTIAGO-CARRERO
Provider Business Mailing Address
First Line : 889 HACIENDA CIR
Second Line :
City : KISSIMMEE
State : FL
Zip : 34741-6379
Country : US
Telephone Number : 203-726-1843
Fax Number :
Provider Business Practice Location Address
First Line : 730 SAND LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32809-7750
Country : US
Telephone Number : 407-781-7545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/28/2024

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Directions to “ ALIYAH SANTIAGO-CARRERO ” Practice Location

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