Healthcare Provider Details

I. General information

NPI: 1780325498
Provider Name (Legal Business Name): ARELIS VELAZQUEZ SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 W 81ST PL
HIALEAH FL
33014-3515
US

IV. Provider business mailing address

963 W 81ST PL
HIALEAH FL
33014-3515
US

V. Phone/Fax

Practice location:
  • Phone: 786-458-3133
  • Fax: 954-374-9678
Mailing address:
  • Phone: 786-458-3133
  • Fax: 954-374-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: