Healthcare Provider Details

I. General information

NPI: 1023460359
Provider Name (Legal Business Name): SONIA YAMILET SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 NW 53RD ST STE 240
BOCA RATON FL
33487-8291
US

IV. Provider business mailing address

17801 NW 2ND AVE
MIAMI FL
33169-5029
US

V. Phone/Fax

Practice location:
  • Phone: 954-909-5953
  • Fax:
Mailing address:
  • Phone: 954-909-5953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2110
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-39304
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0189408
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: