Provider Demographics
NPI:1154012953
Name:LANTIGUA DE SANTOS, DARLINY E (RBT)
Entity type:Individual
Prefix:
First Name:DARLINY
Middle Name:E
Last Name:LANTIGUA DE SANTOS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2364 CHEROKEE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-6033
Mailing Address - Country:US
Mailing Address - Phone:941-303-7021
Mailing Address - Fax:
Practice Address - Street 1:2364 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-6033
Practice Address - Country:US
Practice Address - Phone:941-303-7021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-246756106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician