Provider Demographics
NPI:1073378345
Name:SANCHEZ TAMAYO, TELMA DEL PILAR
Entity Type:Individual
Prefix:
First Name:TELMA
Middle Name:DEL PILAR
Last Name:SANCHEZ TAMAYO
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 1:3508 WINDY WALK WAY APT 206
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7343
Mailing Address - Country:US
Mailing Address - Phone:321-732-1022
Mailing Address - Fax:
Practice Address - Street 1:3508 WINDY WALK WAY APT 206
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7343
Practice Address - Country:US
Practice Address - Phone:321-732-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-326573106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician