Healthcare Provider Details

I. General information

NPI: 1275385015
Provider Name (Legal Business Name): PAOLA ALEXANDRA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEX SANCHEZ

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 EXECUTIVE CENTER DR STE 255
AUSTIN TX
78731-1633
US

IV. Provider business mailing address

3737 EXECUTIVE CENTER DR STE 255
AUSTIN TX
78731-1633
US

V. Phone/Fax

Practice location:
  • Phone: 512-340-0171
  • Fax:
Mailing address:
  • Phone: 512-340-0171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: