Individual
ELIAGNE SANJURJO SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84 STE 206, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
7556 STIRLING RD APT 222, HOLLYWOOD, FL 33024-1509
(954) 668-5080
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
FL
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014641900
—
FL
Enumeration date
04/16/2015
Last updated
12/26/2022
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