MS. DEBBI WAGNER SANTOS (NPI# 1245570647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245570647 |
| Entity Type | Individual |
| Full Name | MS. DEBBI WAGNER SANTOS |
| Credential | M.S. BCABA |
| Practice Address |
4890 Wagon Master Trl Micco FL 32976-2736 |
| Mailing Address |
550 Saint Johns St Cocoa FL 32922-7241 |
| Practice Telephone | 7726641620 |
| Mailing Telephone | 7727136978 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | 0-02-0614 | FL | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 103K00000X | FL | Agencies |
| Street Address |
4890 WAGON MASTER TRL |
| City | MICCO |
| State | FL |
| Zip Code | 32976-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043501695 | Mary Helena Lesperance | Pharmacist | 7960 Us Hwy 1, Micco, FL 32976 | 2011-04-29 |
| 1346735727 | Clara Lee | Physician Assistant | 7901 Ron Beatty Blvd, Sebastian, FL 32976 | 2018-06-27 |
| 1457996282 | Lori Ellen Bray | Doula | 8520 Us Highway 1 Apt B12, Micco, FL 32976-2616 | 2019-11-15 |
| 1447720362 | Nola Trossman | Nurse Practitioner | 5155 Wilden Rd, Micco, FL 32976-2728 | 2018-12-04 |
| 1386943637 | Brian Brady | Occupational Therapist | 4053 11th St, Sebastian, FL 32976-2805 | 2011-03-24 |
| 1538649181 | Joelene Newman | Occupational Therapy Assistant | 1007 Ginger Ln., Sebastian, FL 32976-3297 | 2018-08-14 |
| 1750520714 | Jessica Fitzgerald | Speech-Language Pathologist | 9853 Honeysuckle Dr, Sebastian, FL 32976-3319 | 2009-02-16 |
| 1679107619 | Roberta Jo Miller | Nurse Practitioner | 9750 Fleming Grant Rd, Micco, FL 32976-3326 | 2020-02-28 |
| 1861866253 | Leslie Bertrand | Registered Nurse | 1204 Calusa Dr, Barefoot Bay, FL 32976-7072 | 2015-11-23 |
| 1265087530 | Functional Motility Therapy LLC | Occupational Therapist | 1007 Ginger Ln, Sebastian, FL 32976-7217 | 2019-08-05 |
| Find all providers in zip 32976 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.