Edlisa Santiago

NPI #1922782010 in Kent, Ohio

Provider Information

NPI Number: 1922782010
Entity Type: Individual
Name: Edlisa Santiago
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 1002 LAKE ST APT H420
City: Kent
State: Ohio
ZIP Code: 44240-2764
Phone: (216) 647-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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