Healthcare Provider Details

I. General information

NPI: 1205761913
Provider Name (Legal Business Name): ALEXANDRA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FULTON ST STE 200
FRESNO CA
93721-1646
US

IV. Provider business mailing address

2521 1/2 SHAFT ST
SELMA CA
93662-3321
US

V. Phone/Fax

Practice location:
  • Phone: 559-348-9225
  • Fax:
Mailing address:
  • Phone: 559-940-8452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberW9328366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: