Provider Demographics
NPI:1689202459
Name:SANCHEZ PEREZ, DANIA CARIDAD
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:CARIDAD
Last Name:SANCHEZ PEREZ
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 1:229 E 3RD ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-6219
Mailing Address - Country:US
Mailing Address - Phone:786-571-0045
Mailing Address - Fax:
Practice Address - Street 1:229 E 3RD ST UNIT 2
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-6219
Practice Address - Country:US
Practice Address - Phone:786-571-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-115523106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician