Provider Demographics
NPI:1184098816
Name:SANTANA PEDRERO, ALEYMI (BCBA)
Entity type:Individual
Prefix:
First Name:ALEYMI
Middle Name:
Last Name:SANTANA PEDRERO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9952 SW 88TH ST UNIT 326-3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1781
Mailing Address - Country:US
Mailing Address - Phone:786-315-6895
Mailing Address - Fax:
Practice Address - Street 1:9952 SW 88TH ST UNIT 326-3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1781
Practice Address - Country:US
Practice Address - Phone:786-315-6895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No253Z00000XAgenciesIn Home Supportive Care
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-21-50470OtherBACB