Provider Demographics
NPI:1407624679
Name:SANCHEZ, NATHAN ALDANA
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:ALDANA
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 METZ RD
Mailing Address - Street 2:
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-2717
Mailing Address - Country:US
Mailing Address - Phone:831-821-3136
Mailing Address - Fax:
Practice Address - Street 1:454 INDIAN WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3518
Practice Address - Country:US
Practice Address - Phone:183-182-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst