| Santamore Nicole Llc | |
|
2226 Sarno Rd Ste 100 Melbourne FL 32935-3087 | |
| (321) 408-6393 | |
| Not Available |
| Full Name | Santamore Nicole Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2226 Sarno Rd Ste 100, Melbourne, Florida |
| Authorized Official Name and Position | Nicole Santamore (OWNER) |
| Authorized Official Contact | 3214086393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santamore Nicole Llc 3061 Dagget Ave Se Palm Bay FL 32909-8113 Ph: (207) 206-2743 | Santamore Nicole Llc 2226 Sarno Rd Ste 100 Melbourne FL 32935-3087 Ph: (321) 408-6393 |
| NPI Number | 1679301204 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679301204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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