Healthcare Provider Details

I. General information

NPI: 1780311159
Provider Name (Legal Business Name): MEYLIN MARIA RICARDO SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY # 173
STUART FL
34994-1019
US

IV. Provider business mailing address

14332 SW 283RD ST
HOMESTEAD FL
33033-1710
US

V. Phone/Fax

Practice location:
  • Phone: 954-579-7973
  • Fax:
Mailing address:
  • Phone: 281-515-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB799961
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB799961
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: