Provider Demographics
NPI:1801520176
Name:SOSA SANCHEZ, YOHANIA
Entity type:Individual
Prefix:
First Name:YOHANIA
Middle Name:
Last Name:SOSA SANCHEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 FAIRFAX RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1519
Mailing Address - Country:US
Mailing Address - Phone:786-281-7393
Mailing Address - Fax:
Practice Address - Street 1:1601 BELVEDERE RD STE 31
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-1541
Practice Address - Country:US
Practice Address - Phone:561-421-0047
Practice Address - Fax:561-421-0023
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLRBT-20-131199106S00000X
FL1-25-79927103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician