Provider Demographics
NPI:1619603370
Name:SANCHEZ, YULIANA LIZETTE
Entity Type:Individual
Prefix:
First Name:YULIANA
Middle Name:LIZETTE
Last Name: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 1:9167 BELLA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-8511
Mailing Address - Country:US
Mailing Address - Phone:951-216-8065
Mailing Address - Fax:
Practice Address - Street 1:9167 BELLA VISTA ST
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-8511
Practice Address - Country:US
Practice Address - Phone:951-216-8065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician