Provider Demographics
NPI:1154835031
Name:SANCHEZ, CECILIA MARISEL
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:MARISEL
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 W 68TH ST APT E101
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-4402
Mailing Address - Country:US
Mailing Address - Phone:786-302-4407
Mailing Address - Fax:
Practice Address - Street 1:1900 W 68TH ST APT E101
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-4402
Practice Address - Country:US
Practice Address - Phone:786-302-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician