Provider Demographics
NPI:1669267969
Name:DELGADO SANTANA, ARLENY
Entity type:Individual
Prefix:
First Name:ARLENY
Middle Name:
Last Name:DELGADO SANTANA
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 1:14358 SW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1832
Mailing Address - Country:US
Mailing Address - Phone:305-407-6850
Mailing Address - Fax:
Practice Address - Street 1:14358 SW 165TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1832
Practice Address - Country:US
Practice Address - Phone:305-407-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25-420669106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician