Healthcare Provider Details

I. General information

NPI: 1548194624
Provider Name (Legal Business Name): MISS CHEZAREY SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24355 LYONS AVE STE 240
NEWHALL CA
91321-2390
US

IV. Provider business mailing address

25116 WILEY CANYON RD
NEWHALL CA
91321-2324
US

V. Phone/Fax

Practice location:
  • Phone: 661-498-9940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: