MISSYANNE SANDOVAL


Address: 801 Jefferson St Ste 4, Fairfield, CA 94533-5557
Phone: 8552237123

MISSYANNE SANDOVAL (NPI# 1801331806) 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) 1801331806
Entity Type Individual
Full Name MISSYANNE SANDOVAL
Practice Address 801 Jefferson St Ste 4
Fairfield
CA 94533-5557
Mailing Address 16782 Von Karman Ave Ste 11
Irvine
CA 92606-2417
Practice Telephone 8552237123
Mailing Telephone 8552237123
Mailing Fax Number 6193747134
Enumeration Date 2016-12-29
Last Update Date 2019-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1-16-24521 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1855 2nd St Ste B, Concord, CA 945192623 8552237123 6193747134

Office Location

Street Address 801 JEFFERSON ST STE 4
City FAIRFIELD
State CA
Zip Code 94533-5557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245701622 Noel Marcaida Behavioral Analyst 801 Jefferson St Ste 4, Fairfield, CA 94533-5557 2018-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609487347 Shayondelice Sledge Case Manager/Care Coordinator 3001 N. Texas St., #27, Fairfield, CA 94533 2020-08-16
1508401191 Tiffany Ann Garcia Social Worker 1301 Roman Way, Martinez, CA 94533 2019-11-07
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1821645383 Michelle Marie Hackett Marriage & Family Therapist 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 2019-08-20
1780154369 Maria Leonila Ramos Corpuz Behavior Technician 744 Empire Street Suite 160, Fairfield, CA 94533 2018-11-27
1629575303 Jeanne Ann Kiernan Dentist 690 Airman Dr, Apo, AA 94533 2018-04-10
1629596820 Max Kardos Student in an Organized Health Care Education/Training Program 801 Empire St., Fairfield, CA 94533 2017-09-07
1780119867 Justin Denhart Dickson Student in an Organized Health Care Education/Training Program 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 2017-04-26
1639613409 Behrooz Shafiezadeh Marriage & Family Therapist Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 2016-12-13
1427500164 Tanya Ayers Counselor 801 Empire Street, Fairfield, CA 94533 2016-10-28
Find all providers in zip 94533

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
1831750918 Stephanie Lopez Behavioral Analyst 1403 Clementine Ln, Fairfield, CA 94533-8035 2019-06-27
1720562390 Sara Jardin Behavioral Analyst 744 Empire St # 160, Fairfield, CA 94533-5562 2018-09-19
1316423700 Moktar Michael Doumbia Behavioral Analyst 66 Barlow Ct, Fairfield, CA 94533-6736 2018-07-18
1205312436 John Will Hubbard Iv Behavioral Analyst 3426 Glen Ellen Dr, Fairfield, CA 94534 2018-07-11
1740772458 Dina Pollard Behavioral Analyst 5173 Amberwood Cir, Fairfield, CA 94534-6850 2018-05-30
1073000626 Melanie Varian Behavioral Analyst 292 Hemlock Hills Rd N, Fairfield, CT 06824-1869 2018-04-19
1396283362 Jan Marie Brosas Vista Behavioral Analyst 420 Mountain Meadows Dr, Fairfield, CA 94534-6759 2017-02-09
1689120842 Daniella Ponce Behavioral Analyst 616 Parisio Cir, Fairfield, CA 94534-6753 2016-08-28
1831643634 Colleen Carlos Behavioral Analyst 2901 Willow Ct, Fairfield, CA 94533-7743 2016-08-09
1396192035 Kathryn Hepp Behavioral Analyst 887 Stratfield Rd, Fairfield, CT 06825-1655 2016-05-23
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 94533

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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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