Healthcare Provider Details

I. General information

NPI: 1821653130
Provider Name (Legal Business Name): FATIMA JACINTO-SANCHEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5945 S LOS ALTOS PKWY STE 101
SPARKS NV
89436-2503
US

IV. Provider business mailing address

PO BOX 50843
SPARKS NV
89435-0843
US

V. Phone/Fax

Practice location:
  • Phone: 775-354-1380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA0614
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: