MEDICARE: LIENNY SANCHEZ CARDENAS

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
1	106S00000X	Behavior Technician	24-399687	FL

General Provider Information

NPI Number	:	1568279446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIENNY SANCHEZ CARDENAS

Provider Business Mailing Address
First Line	:	1875 NE 169TH ST APT 18
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3056
Country	:	US
Telephone Number	:	305-879-6264
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 NE 169TH ST APT 18
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3056
Country	:	US
Telephone Number	:	305-879-6264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2024
Last Update Date	:	12/14/2024

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Directions to “ LIENNY SANCHEZ CARDENAS ” Practice Location

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