Healthcare Provider Details

I. General information

NPI: 1124952064
Provider Name (Legal Business Name): YOSJAN WINNER SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18245 NW 73RD AVE APT 206
HIALEAH FL
33015-6178
US

IV. Provider business mailing address

18245 NW 73RD AVE APT 206
HIALEAH FL
33015-6178
US

V. Phone/Fax

Practice location:
  • Phone: 786-793-8242
  • Fax:
Mailing address:
  • Phone: 786-793-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-543556
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: