Provider Demographics
NPI:1760377998
Name:SANCHEZ, EVAN ANTHONY (BCBA)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:ANTHONY
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 BURRARD AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90022-5403
Mailing Address - Country:US
Mailing Address - Phone:323-483-9976
Mailing Address - Fax:
Practice Address - Street 1:444 W OCEAN BLVD STE 800
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4529
Practice Address - Country:US
Practice Address - Phone:562-661-8900
Practice Address - Fax:562-661-8902
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-25-81597103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst