Provider Demographics
NPI:1093361958
Name:MORALES SANTIAGO, SINDIA (RBT)
Entity Type:Individual
Prefix:
First Name:SINDIA
Middle Name:
Last Name:MORALES SANTIAGO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 NE 29TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7604
Mailing Address - Country:US
Mailing Address - Phone:305-798-1349
Mailing Address - Fax:305-675-8060
Practice Address - Street 1:970 NE 29TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7604
Practice Address - Country:US
Practice Address - Phone:305-798-1349
Practice Address - Fax:305-675-8060
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician