Provider Demographics
NPI:1881589588
Name:SANCHEZ GORDILLO, JORGE ALEXANDER (RBT)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:ALEXANDER
Last Name:SANCHEZ GORDILLO
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 NW 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4616
Mailing Address - Country:US
Mailing Address - Phone:786-694-9807
Mailing Address - Fax:
Practice Address - Street 1:165 NW 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-4616
Practice Address - Country:US
Practice Address - Phone:786-694-9807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-443314106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst