Provider Demographics
NPI:1336924745
Name:NIEVES SANCHEZ, ALBERTO A
Entity Type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:A
Last Name:NIEVES SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SARA AVE N
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-6833
Mailing Address - Country:US
Mailing Address - Phone:786-390-6939
Mailing Address - Fax:
Practice Address - Street 1:5900 SARA AVE N
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-6833
Practice Address - Country:US
Practice Address - Phone:786-390-6939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-288696106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician