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NPI Code Detail

MEDICARE: SANTIIRA WOODARD M.S., BCBA

MEDICARE: SANTIIRA WOODARD M.S., BCBA
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
1103K00000XBehavior Analyst1-21-47348

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174954549
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTIIRA WOODARD M.S., BCBA
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 7441 114TH AVE
Second Line :
City : LARGO
State : FL
Zip : 33773-5124
Country : US
Telephone Number : 727-492-5369
Fax Number : 727-544-5900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2013
Last Update Date : 05/07/2025

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