Provider Demographics
NPI:1568279446
Name:SANCHEZ CARDENAS, LIENNY
Entity type:Individual
Prefix:
First Name:LIENNY
Middle Name:
Last Name:SANCHEZ CARDENAS
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 1:1875 NE 169TH ST APT 18
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-3056
Mailing Address - Country:US
Mailing Address - Phone:305-879-6264
Mailing Address - Fax:
Practice Address - Street 1:1875 NE 169TH ST APT 18
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3056
Practice Address - Country:US
Practice Address - Phone:305-879-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-14
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-399687106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician