Santiago, Fantasy

Santiago, Fantasy is an individual health care provider with primary practice located at 216 W Boylston St , West Boylston MA 01583-1784. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Santiago, Fantasy can be contacted via phone (978) 407-5109.

Contact Information

Primary practice address
216 W Boylston St West Boylston MA 01583-1784
Phone: (978) 407-5109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1689443079
LBN Legal business name Santiago, Fantasy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2023
Last updated Dec 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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