Provider Demographics
NPI:1295444180
Name:SND PROFESSIONAL SERVICES LLC
Entity type:Organization
Organization Name:SND PROFESSIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:YOLEYKY
Authorized Official - Last Name:NUNEZ DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-552-2980
Mailing Address - Street 1:2260 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4924
Mailing Address - Country:US
Mailing Address - Phone:786-568-7565
Mailing Address - Fax:786-607-8767
Practice Address - Street 1:2260 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4924
Practice Address - Country:US
Practice Address - Phone:786-568-7565
Practice Address - Fax:786-607-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty