Healthcare Provider Details

I. General information

NPI: 1114482874
Provider Name (Legal Business Name): MARIA F SANGRI GIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5203 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

IV. Provider business mailing address

5203 COMMONWEALTH CENTRE PKWY
MIDLOTHIAN VA
23112-2623
US

V. Phone/Fax

Practice location:
  • Phone: 804-799-9301
  • Fax:
Mailing address:
  • Phone: 804-799-9301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0134000710
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: