Individual provider Active NPI

Sandra Dworiwah Amoah

  • Behavior Technician
  • San Diego, CA
National Provider Identifier
1124767041
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2838 Franklin Ave
San Diego, CA 92113-1331
Phone
(404) 422-4978
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2838 Franklin Ave
San Diego, CA 92113-1331

Mailing address

2838 Franklin Ave
San Diego, CA 92113-1331
Phone (404) 422-4978

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CSD Center for Social Dynamics

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1124767041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 FRANKLIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131331",
            "telephone_number": "404-422-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 FRANKLIN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921131331",
            "telephone_number": "404-422-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOAH",
        "first_name": "SANDRA",
        "middle_name": "DWORIWAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSD",
            "affiliation": "Y",
            "affiliationName": "Center for Social Dynamics",
            "address_1": "1025 Atlantic Ave",
            "address_2": "101",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945011189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.