Provider Demographics
NPI:1467197061
Name:SANCHEZ, JENNIFER ALEXA (BA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ALEXA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ALEXA
Other - Last Name:ADRADA RAMIREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:8300 JEFFERSON ST NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 PARK AVE STE 1300
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-7216
Practice Address - Country:US
Practice Address - Phone:844-743-6506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician