Provider Demographics
NPI:1134008410
Name:SANTANA LEON, LORENA (RBT -25-465489)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:SANTANA LEON
Suffix:
Gender:F
Credentials:RBT -25-465489
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 S PARK AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-2000
Mailing Address - Country:US
Mailing Address - Phone:407-576-0449
Mailing Address - Fax:
Practice Address - Street 1:7212 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5806
Practice Address - Country:US
Practice Address - Phone:407-574-8481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician