Provider Demographics
NPI:1750867669
Name:SANCHEZ, ALEXANDER (RBT)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2896 VIA VELLARIA
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-1749
Mailing Address - Country:US
Mailing Address - Phone:561-345-8766
Mailing Address - Fax:
Practice Address - Street 1:2896 VIA VELLARIA
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-1749
Practice Address - Country:US
Practice Address - Phone:561-345-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL1-23-67254103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician