Provider Demographics
NPI:1396443743
Name:SANCHEZ, LIUDMILA (RBT)
Entity type:Individual
Prefix:MISS
First Name:LIUDMILA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 NW 82ND AVE APT 217B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2726
Mailing Address - Country:US
Mailing Address - Phone:305-562-8137
Mailing Address - Fax:
Practice Address - Street 1:905 NW 82ND AVE APT 217B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2726
Practice Address - Country:US
Practice Address - Phone:305-562-8137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-154020106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician