Provider Demographics
NPI:1073312401
Name:SANCHEZ PEREZ, LAURA MARGARITA (RBT-24-396474)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MARGARITA
Last Name:SANCHEZ PEREZ
Suffix:
Gender:
Credentials:RBT-24-396474
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3417 SUNRISE VILLAS CT S
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-4662
Mailing Address - Country:US
Mailing Address - Phone:813-724-7024
Mailing Address - Fax:
Practice Address - Street 1:3417 SUNRISE VILLAS CT S
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4662
Practice Address - Country:US
Practice Address - Phone:813-724-7024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-396474106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician