Provider Demographics
NPI:1750990305
Name:OLIVA SANCHEZ, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:OLIVA 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 1:1623 CANOE CREEK FALLS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-4335
Mailing Address - Country:US
Mailing Address - Phone:786-614-3645
Mailing Address - Fax:
Practice Address - Street 1:1623 CANOE CREEK FALLS DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-4335
Practice Address - Country:US
Practice Address - Phone:786-614-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician