MEDICARE: SANDRA SANTANA

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
1	106S00000X	Behavior Technician	RBT-25-489297	FL

General Provider Information

NPI Number	:	1134083736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SANTANA

Provider Business Mailing Address
First Line	:	7868 SW 138TH STREET RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34473-6931
Country	:	US
Telephone Number	:	786-614-2881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 E SILVER SPRING BLVD 118-6
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470
Country	:	US
Telephone Number	:	352-342-3839
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ SANDRA SANTANA ” Practice Location

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