Provider Demographics
NPI:1336810639
Name:AGUILAR SANCHEZ, ELIANY
Entity Type:Individual
Prefix:
First Name:ELIANY
Middle Name:
Last Name:AGUILAR SANCHEZ
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 1:7423 MARSEILLE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8439
Mailing Address - Country:US
Mailing Address - Phone:407-683-5801
Mailing Address - Fax:
Practice Address - Street 1:7423 MARSEILLE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8439
Practice Address - Country:US
Practice Address - Phone:407-683-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-26
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician