Individual
GEORGINA SANCHEZ BAEZ
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
(954) 634-3637
Mailing address
5900 SARA AVE N, LEHIGH ACRES, FL 33971-6833
(305) 399-5743
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11932
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018385000
—
FL
Enumeration date
10/27/2016
Last updated
05/03/2021
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