Provider Demographics
NPI:1437678612
Name:CHAVEZ SANCHEZ, VERENICE
Entity Type:Individual
Prefix:
First Name:VERENICE
Middle Name:
Last Name:CHAVEZ SANCHEZ
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 1:3349 BEE RIDGE RD APT 10B
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-7218
Mailing Address - Country:US
Mailing Address - Phone:346-303-3504
Mailing Address - Fax:
Practice Address - Street 1:3349 BEE RIDGE RD APT 10B
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7218
Practice Address - Country:US
Practice Address - Phone:346-303-3504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician