Provider Demographics
NPI:1457103004
Name:SANTOS, MERIS ALAYNE PELLAZAR (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:MERIS ALAYNE
Middle Name:PELLAZAR
Last Name:SANTOS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 N 55TH PL
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-3506
Mailing Address - Country:US
Mailing Address - Phone:480-708-7019
Mailing Address - Fax:
Practice Address - Street 1:6335 E MAIN ST STE E4
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8966
Practice Address - Country:US
Practice Address - Phone:480-351-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral