Healthcare Provider Details

I. General information

NPI: 1629675467
Provider Name (Legal Business Name): MS. JOELY ALEXYS SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24360 VILLAGE WALK PL STE C-D
MURRIETA CA
92562-5241
US

IV. Provider business mailing address

24360 VILLAGE WALK PL STE C-D
MURRIETA CA
92562-5241
US

V. Phone/Fax

Practice location:
  • Phone: 951-557-6036
  • Fax:
Mailing address:
  • Phone: 951-557-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2856708
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: