Provider Demographics
NPI:1386513083
Name:CALZADA-SANTOS, KARINA
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:CALZADA-SANTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S KIRKMAN RD # 617275
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2007
Mailing Address - Country:US
Mailing Address - Phone:904-800-5107
Mailing Address - Fax:
Practice Address - Street 1:501 S KIRKMAN RD # 617275
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2007
Practice Address - Country:US
Practice Address - Phone:904-800-5107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-478856106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician