Susana Sanchez Olivares

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB688998 Issued in FL

Practice address

3720 19TH Ave SW
Naples, FL 34117-6142

Phone

(305) 815-6167

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellpath Behavioral and Psychological Services LLC

  • Behavior Analyst
  • Naples, FL
  • NPI 1992314488
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1225788292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 EVERGLADES BLVD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341205515",
            "telephone_number": "832-322-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 19TH AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341176142",
            "telephone_number": "305-815-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ OLIVARES",
        "first_name": "SUSANA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB688998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11209100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adil Mohamed Sanaulla, MD
• Yaremys Sanchez Armas
• Claudia De la Caridad Sanchez Hernandez
• Darai Barbara Sanchez Montero, D.M.D
• Maria Fernanda Sanchez Nouel
• Loraine Sanchez Paulino
• Ronaldo Sanchez Ramirez
• Elizabeth Sanchez Valdes
• Alexander Daniel Sanchez
• Danielle Sanchez, MD

• Behavior Technician in Naples, FL
• Providers in Naples, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.