MEDICARE: SANTIKA PONDER

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	24-336115	FL

General Provider Information

NPI Number	:	1700126612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTIKA PONDER

Provider Business Mailing Address
First Line	:	259 NW 30TH TER
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-8431
Country	:	US
Telephone Number	:	754-214-5419
Fax Number	:

Provider Business Practice Location Address
First Line	:	1790 SW 43RD WAY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33317-5701
Country	:	US
Telephone Number	:	855-442-2454
Fax Number	:

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

Provider Enumeration Date	:	03/01/2013
Last Update Date	:	02/13/2026

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Directions to “ SANTIKA PONDER ” Practice Location

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