Provider Demographics
NPI:1174290597
Name:SAINZ, LEANDRA FRANCIS
Entity Type:Individual
Prefix:
First Name:LEANDRA
Middle Name:FRANCIS
Last Name:SAINZ
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 1:14898 SW 82ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1590
Mailing Address - Country:US
Mailing Address - Phone:305-496-2757
Mailing Address - Fax:
Practice Address - Street 1:7270 NW 12TH ST STE 130
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1928
Practice Address - Country:US
Practice Address - Phone:786-536-7009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-173125106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician