MEDICARE: SANA BEHAVIORAL HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	251B00000X	Case Management Agency
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447935036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANA BEHAVIORAL HEALTH INC.

Provider Business Mailing Address
First Line	:	14241 SW 296TH ST
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-3009
Country	:	US
Telephone Number	:	305-807-8041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 N KROME AVE
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33030-4207
Country	:	US
Telephone Number	:	305-807-8041
Fax Number	:

Authorized Official
Title or Position	:	CEO/ PRESIDENT
Name	:	YASNIEL ENRIQUEZ
Credential	:	MBA, MSW, CBHCMS
Telephone Number	:	305-807-8041

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	07/20/2023

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Directions to “SANA BEHAVIORAL HEALTH INC. ” Practice Location

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