Basic Information
| Provider Information | |||||||||
| NPI: | 1740866433 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | FELIX | ||||||||
| MiddleName: | ALEJANDRO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18860 NORDHOFF ST | ||||||||
| Address2: | |||||||||
| City: | NORTHRIDGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913243811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188551788 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 18860 NORDHOFF ST | ||||||||
| Address2: | |||||||||
| City: | NORTHRIDGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913243811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188551788 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2021 | ||||||||
| LastUpdateDate: | 07/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1-21-54019 | CA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.