Provider Demographics
NPI:1093286296
Name:SALDANA, REYMOND OMAR
Entity Type:Individual
Prefix:
First Name:REYMOND
Middle Name:OMAR
Last Name:SALDANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REYMOND
Other - Middle Name:OMAR
Other - Last Name:SALDANA COLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 CREEKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34772-7779
Mailing Address - Country:US
Mailing Address - Phone:636-368-1117
Mailing Address - Fax:407-386-9918
Practice Address - Street 1:1300 CREEKVIEW CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34772-7779
Practice Address - Country:US
Practice Address - Phone:636-368-1117
Practice Address - Fax:407-386-9918
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician