Individual
CORALYS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 W HIBISCUS BLVD, MELBOURNE, FL 32901-2622
(321) 345-4232
(321) 765-6434
Mailing address
1855 W HIBISCUS BLVD, MELBOURNE, FL 32901-2622
(321) 345-4232
(321) 765-6434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1502140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1502140
RBT
FL
Enumeration date
09/06/2016
Last updated
09/06/2016
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