Active NPI
Coralys Sanchez
- Behavior Analyst
- Melbourne, FL
National Provider Identifier
1235686452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1502140
- Practice address
- 1855 W Hibiscus Blvd
Melbourne, FL 32901-2622 - Phone
- (321) 345-4232
- Fax
- (321) 765-6434
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1502140 | FL | Primary |
Addresses
Primary practice location
1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Mailing address
1855 W Hibiscus Blvd
Melbourne, FL 32901-2622
Phone (321) 345-4232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1502140 | Other | FL | RBT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1502140 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473120000000",
"number": "1235686452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012622",
"telephone_number": "321-345-4232",
"fax_number": "321-765-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012622",
"telephone_number": "321-345-4232",
"fax_number": "321-765-6434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "CORALYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1502140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "1502140",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.