Provider Demographics
NPI:1235018607
Name:BORRERO SANTIAGO, MARIA IVETTE (RBT-25-454872)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:IVETTE
Last Name:BORRERO SANTIAGO
Suffix:
Gender:F
Credentials:RBT-25-454872
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 HILLVIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9688
Mailing Address - Country:US
Mailing Address - Phone:407-639-6853
Mailing Address - Fax:
Practice Address - Street 1:680 HILLVIEW LOOP
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-9688
Practice Address - Country:US
Practice Address - Phone:407-639-6853
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 Licenses
StateLicense IDTaxonomies
FLRBT-25-454872106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician