Provider Demographics
NPI:1881416865
Name:BORABE SANCHEZ, DAILENA JANDY
Entity type:Individual
Prefix:
First Name:DAILENA
Middle Name:JANDY
Last Name:BORABE 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 1:1307 LEXINGTON SQ SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-3434
Mailing Address - Country:US
Mailing Address - Phone:772-453-7198
Mailing Address - Fax:
Practice Address - Street 1:1515 INDIAN RIVER BLVD STE A210
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7107
Practice Address - Country:US
Practice Address - Phone:772-774-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician