Provider Demographics
NPI:1699423608
Name:SANCHEZ MESA, IBEL (RBT)
Entity type:Individual
Prefix:
First Name:IBEL
Middle Name:
Last Name:SANCHEZ MESA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 FREEDOM CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-6693
Mailing Address - Country:US
Mailing Address - Phone:786-379-1393
Mailing Address - Fax:
Practice Address - Street 1:268 VETERANS PKWY STE J
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-6432
Practice Address - Country:US
Practice Address - Phone:629-207-6370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20-120024106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician