Susi Santoso

NPI #1225627805 in Cary, Illinois

Provider Information

NPI Number: 1225627805
Entity Type: Individual
Name: Susi Santoso
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 18, 2021
Last Updated: Sep 10, 2025

Practice Location

Address: 1005 ALEXANDER CT UNIT D
City: Cary
State: Illinois
ZIP Code: 60013-1891
Phone: (312) 929-6713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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