JEANNISE SANDOVAL


Address: 330 Golden Shr Ste 250, Long Beach, CA 90802-4270
Phone: 5622567550

JEANNISE SANDOVAL (NPI# 1437619319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437619319
Entity Type Individual
Full Name JEANNISE SANDOVAL
Credential RECREATION THERAPIST
Practice Address 330 Golden Shr Ste 250
Long Beach
CA 90802-4270
Mailing Address 13839 Fairlock Ave
Paramount
CA 90723-2108
Practice Telephone 5622567550
Practice Fax Number 8009855002
Mailing Telephone 5624809332
Enumeration Date 2019-03-25
Last Update Date 2019-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 5278-T CA Behavioral Health & Social Service Providers

Office Location

Street Address 330 GOLDEN SHR STE 250
City LONG BEACH
State CA
Zip Code 90802-4270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518257104 Shunda Mcwain Respiratory Therapist, Certified 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2011-04-15
1518470996 Kathleen Ann Salvatori Occupational Therapy Assistant 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2017-11-08
1629424163 Maxine Guess Social Worker 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2016-05-13
1740649953 Sujatha Rao Pasupuleti Physical Therapist 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2016-02-16
1679949804 Nikoo Adloo Social Worker 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2015-08-11
1699159517 Frances Diehr Physical Therapy Assistant 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2015-07-10
1669869541 Ricky Delcardo France Physical Therapy Assistant 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2015-04-19
1477954436 Jill Goodman Occupational Therapist 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2014-09-09
1710227095 Renee Moreno Occupational Therapist 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2013-02-22
1245579366 Kathryn Deagon Physical Therapist 330 Golden Shr Ste 250, Long Beach, CA 90802-4270 2013-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255981791 Nena Danieles Meador Technician 505 West 5th St. Unit 201, Long Beach, CA 90802 2019-09-17
1881241487 Edward De La Cruz Technician 425 E 3rd St., 413, Long Beach, CA 90802 2019-08-20
1992350094 Kaitlyn May Saephan Student in an Organized Health Care Education/Training Program 200 Pine Avenue, Suite 400, Long Beach, CA 90802 2019-08-06
1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1235612193 Linda Nyagaya Nurse Practitioner 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 2018-09-06
1669998670 Jessica Huerta Student in an Organized Health Care Education/Training Program 456 Elm, Long Beach, CA 90802 2017-08-22
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
1386168136 Shena Young Psychologist 404 East First St #1191, Long Beach, CA 90802 2017-08-02
1215472758 Vanessa Pons Marriage & Family Therapist 735 W 4th St Unit A, Long Beach, CA 90802 2016-12-19
1821459330 Surabhi Shah Occupational Therapist 330 Golden Shores, Suite 250, Long Beach, CA 90802 2016-03-10
Find all providers in zip 90802

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003414244 Destiny Standifer Behavioral Analyst 2851 E Theresa St Apt 1, Long Beach, CA 90814-1385 2020-10-10
1912521873 Carlos Humberto Muro Behavioral Analyst 3432 East Vista Street, Long Beach, CA 90803-5916 2020-06-05
1982238556 Camhi Licensed Behavior Analysis,pllc Behavioral Analyst 75 New Hampshire St, Long Beach, NY 11561-1335 2020-02-23
1972153211 Hicran Duz Behavioral Analyst 704 E San Antonio Dr Apt 4, Long Beach, CA 90807-2216 2019-09-18
1861040388 Michael Francis Tripodi Behavioral Analyst 211 E Penn St, Long Beach, NY 11561-4231 2019-08-28
1992359434 Kanna Lynn Curtis Behavioral Analyst 3491 Elm Avenue, Long Beach, CA 90807 2019-08-01
1932663549 Jennifer Spitz Behavioral Analyst 506 Lindell Blvd, Long Beach, NY 11561-1729 2019-01-28
1467926949 Diana Yazmin Lazcano Chavez Behavioral Analyst 2425 Earl Ave, Long Beach, CA 90806-3017 2019-01-17
1013481902 Colleen Kocher Behavioral Analyst 316 W Chester St, Long Beach, NY 11561-1804 2019-01-14
1972088862 Jany Valezca Alvey-motta Behavioral Analyst 3752 Atlantic Ave, Long Beach, CA 90807-6667 2018-09-26
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90802

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Dataset Information

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.

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