MEDICARE: LIZBETH 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-25-431270	FL

General Provider Information

NPI Number	:	1326911124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZBETH SANTANA

Provider Business Mailing Address
First Line	:	4843 SW 20TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33317-6113
Country	:	US
Telephone Number	:	305-342-7190
Fax Number	:

Provider Business Practice Location Address
First Line	:	4843 SW 20TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33317-6113
Country	:	US
Telephone Number	:	305-342-7190
Fax Number	:

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

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	10/24/2025

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Directions to “ LIZBETH SANTANA ” Practice Location

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