Provider Demographics
NPI:1861386732
Name:SANTOS, MALEAH JOAN
Entity type:Individual
Prefix:
First Name:MALEAH
Middle Name:JOAN
Last Name:SANTOS
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 1:63 MALDEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02746-1313
Mailing Address - Country:US
Mailing Address - Phone:774-888-9239
Mailing Address - Fax:
Practice Address - Street 1:49 STATE ROAD, NORTH DARTMOUTH, MA 02747
Practice Address - Street 2:49 STATE ROAD
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747
Practice Address - Country:US
Practice Address - Phone:774-360-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician