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NPI Code Detail

MEDICARE: ADRIANA IVETTE SANCHEZ MA, BCBA

MEDICARE: ADRIANA IVETTE SANCHEZ MA, BCBA
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
1103K00000XBehavior Analyst1-11-8962TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-11-8962OTHERTXBCBA

General Provider Information

NPI Number : 1427346089
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA IVETTE SANCHEZ MA, BCBA
Provider Business Mailing Address
First Line : 11245 SIR WINSTON ST
Second Line : APT 424
City : SAN ANTONIO
State : TX
Zip : 78216-5449
Country : US
Telephone Number : 956-789-4668
Fax Number :
Provider Business Practice Location Address
First Line : 15911 NACOGDOCHES RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-1107
Country : US
Telephone Number : 210-599-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2011
Last Update Date : 07/18/2011

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