Provider Demographics
NPI:1346019965
Name:SANCHEZ SOTOLONGO, YANAY
Entity Type:Individual
Prefix:
First Name:YANAY
Middle Name:
Last Name:SANCHEZ SOTOLONGO
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 1:4514 SW 8TH PL APT 112
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-6415
Mailing Address - Country:US
Mailing Address - Phone:540-560-0140
Mailing Address - Fax:
Practice Address - Street 1:4514 SW 8TH PL APT 112
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6415
Practice Address - Country:US
Practice Address - Phone:540-560-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst