Provider Demographics
NPI:1700632247
Name:SANCHEZ, ROBERT LOUIS
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name: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 1:6023 SIPAPU AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3733
Mailing Address - Country:US
Mailing Address - Phone:505-900-6606
Mailing Address - Fax:
Practice Address - Street 1:6023 SIPAPU AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-3733
Practice Address - Country:US
Practice Address - Phone:505-900-6606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician