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NPI Code Detail

MEDICARE: SUCEL SANCHEZ RBT

MEDICARE: SUCEL SANCHEZ RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295310233
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUCEL SANCHEZ RBT
Provider Business Mailing Address
First Line : 2947 COCONUT AVE APT 2
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-3790
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2947 COCONUT AVE APT 2
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-3790
Country : US
Telephone Number : 786-310-7460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2021
Last Update Date : 03/11/2021

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Directions to “ SUCEL SANCHEZ RBT” Practice Location

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