Healthcare Provider Details

I. General information

NPI: 1740111897
Provider Name (Legal Business Name): LAURA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8355 WILLIS AVE APT 24
PANORAMA CITY CA
91402-3542
US

IV. Provider business mailing address

8355 WILLIS AVE APT 24
PANORAMA CITY CA
91402-3542
US

V. Phone/Fax

Practice location:
  • Phone: 818-581-8884
  • Fax:
Mailing address:
  • Phone: 818-581-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: