Provider Demographics
NPI:1427854298
Name:CARRAZANA SANCHEZ, LILIAN
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:CARRAZANA SANCHEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 BENTLEY NORTH LOOP
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-9367
Mailing Address - Country:US
Mailing Address - Phone:786-764-6387
Mailing Address - Fax:
Practice Address - Street 1:771 BENTLEY NORTH LOOP
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-9367
Practice Address - Country:US
Practice Address - Phone:786-764-6387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-411801106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician