Provider Demographics
NPI:1699521971
Name:ORIHUELA-SANCHEZ, SURENY (RBT-24-340871)
Entity type:Individual
Prefix:
First Name:SURENY
Middle Name:
Last Name:ORIHUELA-SANCHEZ
Suffix:
Gender:F
Credentials:RBT-24-340871
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 CRESTHILL DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4122
Mailing Address - Country:US
Mailing Address - Phone:813-760-9781
Mailing Address - Fax:
Practice Address - Street 1:6601 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4501
Practice Address - Country:US
Practice Address - Phone:479-420-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-340871106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician