Provider Demographics
NPI:1487353017
Name:SANCHEZ, DANIELLA DIANE
Entity type:Individual
Prefix:
First Name:DANIELLA
Middle Name:DIANE
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 1:5468 VIA ESCALANTE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-5565
Mailing Address - Country:US
Mailing Address - Phone:951-496-1405
Mailing Address - Fax:
Practice Address - Street 1:5468 VIA ESCALANTE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-5565
Practice Address - Country:US
Practice Address - Phone:951-496-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst