ELIAGNE SANJURJO SANCHEZ (NPI# 1093102196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093102196 |
| Entity Type | Individual |
| Full Name | ELIAGNE SANJURJO SANCHEZ |
| Practice Address |
10650 W State Road 84 Ste 206 Davie FL 33324-4235 |
| Practice Telephone | 9546343636 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014641900 | 05 |
| Street Address |
10650 W STATE ROAD 84 STE 206 |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063716538 | Lourdes Menoscal | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2010-12-27 |
| 1508409756 | Claudia Rubio Bautista | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-10-21 |
| 1174084594 | Gilma Tapia | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-03-28 |
| 1548725633 | Tomasa Valdes Castro | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2019-02-04 |
| 1205344983 | Madilyn Gonzalez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324 | 2018-01-17 |
| 1922516632 | Yanick Maxena Reneau | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1942718663 | Marlene Dugue Valcin | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2018-01-16 |
| 1649780750 | Caridad Rosado Mendez | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-03 |
| 1851801013 | Marie Mode Atilus | In Home Supportive Care | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-10-02 |
| 1932626900 | Norma Caseres | Technician | 10650 W State Road 84 Ste 206, Davie, FL 33324-4235 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504911 | Claudia Diaz | Behavior Technician | 11472 Rexmere Blvd, Davie, FL 33325-4018 | 2020-10-03 |
| 1588276190 | Tania Rosa Gonzalez | Behavior Technician | 1210 Sw 127th Ter, Davie, FL 33325-5561 | 2020-08-17 |
| 1548870801 | Brianna Kneebone | Behavior Technician | 5400 S University Dr Ste 213, Davie, FL 33328-5312 | 2020-08-03 |
| 1598373672 | Rose Danielle Blanchard | Behavior Technician | 5460 Sw 40th St, Davie, FL 33314-3710 | 2020-07-15 |
| 1639796824 | Martina Berghmans | Behavior Technician | 14941 Newcastle Ln, Davie, FL 33331-3206 | 2020-07-03 |
| 1669002341 | Jose Suarez Perdomo | Behavior Technician | 6201 Palm Trace Landings Dr Apt 204, Davie, FL 33314-1879 | 2020-01-22 |
| 1497399786 | Doris Uzcategui | Behavior Technician | 6241 Sw 41st Pl, Davie, FL 33314-3409 | 2019-10-30 |
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1114575420 | Mohamad Muhieddine Lee El Dannaoui | Behavior Technician | 15055 Sw 41st St, Davie, FL 33331-2780 | 2019-08-29 |
| 1356905012 | Isabella Howerton | Behavior Technician | 2021 Sw 82nd Ave, Davie, FL 33324-5407 | 2019-04-29 |
| Find all providers in DAVIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.