DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SANTINO R CEBALLOS

MEDICARE: SANTINO R CEBALLOS
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 TechnicianAZ

General Provider Information

NPI Number : 1881538494
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTINO R CEBALLOS
Provider Business Mailing Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-808-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

Similar Medicare Providers

1265375331 — KAEDENCE LYNNE CLEMENTSON II
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:
1033063508 — RENEE DIMAS
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:
1184566713 — GRACE LAUREN FITZPATRICK
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:
1285576892 — OFELIA RUIZ
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:
1871435487 — CORRINA SYMONE TRUITT
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:
1447658463 — MS. AMY NICOLE KNIGHT COTA/L
Practice Location Address:
1831 W ROSE GARDEN LN STE 4
PHOENIX, AZ
85027-2725
Practice Phone: 602-808-9912
Practice Fax:

Directions to “ SANTINO R CEBALLOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.