Healthcare Provider Details

I. General information

NPI: 1720910045
Provider Name (Legal Business Name): YULIANA ALVAREZ SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 W PEORIA AVE STE B301
PHOENIX AZ
85029-4618
US

IV. Provider business mailing address

10251 N 35TH AVE
PHOENIX AZ
85051-1305
US

V. Phone/Fax

Practice location:
  • Phone: 602-926-7200
  • Fax:
Mailing address:
  • Phone: 602-926-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: