Provider Demographics
NPI:1902509326
Name:SANCHEZ MENA, YILIAN
Entity Type:Individual
Prefix:
First Name:YILIAN
Middle Name:
Last Name:SANCHEZ MENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 W 9TH LN APT 1
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2023
Mailing Address - Country:US
Mailing Address - Phone:786-848-6802
Mailing Address - Fax:
Practice Address - Street 1:2345 W 9TH LN APT 1
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2023
Practice Address - Country:US
Practice Address - Phone:786-848-6802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-255804106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician