Provider Demographics
NPI:1629512165
Name:SANCHEZ, LETICIA CASANDRA (BCBA)
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:CASANDRA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LETICIA
Other - Middle Name:CASANDRA
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:520 S MAIN ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-3462
Mailing Address - Country:US
Mailing Address - Phone:254-863-2611
Mailing Address - Fax:
Practice Address - Street 1:520 S MAIN ST UNIT A
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-3462
Practice Address - Country:US
Practice Address - Phone:254-863-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-16
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-16-24066103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst