Provider Demographics
NPI:1639789712
Name:SANCHEZ OLMO, SAILIN LICET (RBT)
Entity Type:Individual
Prefix:
First Name:SAILIN
Middle Name:LICET
Last Name:SANCHEZ OLMO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3229 SW 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4252
Mailing Address - Country:US
Mailing Address - Phone:786-985-1632
Mailing Address - Fax:
Practice Address - Street 1:3229 SW 90TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4252
Practice Address - Country:US
Practice Address - Phone:786-985-1632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician