Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idamaris Bencosme Santiesteban

Individual provider Behavior Technician · NPI 1174391387

Idamaris Bencosme Santiesteban is a Behavior Technician in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

4801 S University Dr Ste 130
Davie, FL 33328-3832
Phone: (954) 592-8659
Fax: (561) 516-8183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-312599 (FL)

Record details

NPI number1174391387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

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