Provider Demographics
NPI:1871308528
Name:SAPIENS, CITLALI GUADALUPE
Entity type:Individual
Prefix:
First Name:CITLALI
Middle Name:GUADALUPE
Last Name:SAPIENS
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 1:72521 SHOAL DR
Mailing Address - Street 2:
Mailing Address - City:MECCA
Mailing Address - State:CA
Mailing Address - Zip Code:92254-4082
Mailing Address - Country:US
Mailing Address - Phone:760-799-1762
Mailing Address - Fax:
Practice Address - Street 1:72521 SHOAL DR
Practice Address - Street 2:
Practice Address - City:MECCA
Practice Address - State:CA
Practice Address - Zip Code:92254-4082
Practice Address - Country:US
Practice Address - Phone:760-799-1762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty