Sabrina Ashley Rose Clancy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218

Phone

(888) 531-8385

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goals for Autism, Inc.

  • Behavior Analyst
  • Walnut Creek, CA
  • NPI 1366773012
  NPD
• Hope Grows Behavioral Health

  • Community/Behavioral Health Agency
  • Walnut Creek, CA
  • NPI 1770142556

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1134859572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAN JOSE DR UNIT 235",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945098600",
            "telephone_number": "510-367-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S BROADWAY STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965218",
            "telephone_number": "888-531-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "SABRINA",
        "middle_name": "ASHLEY ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Cisneros
• Sienna Jesleen Cisneros
• John Tamor Citron, MD
• Rita G Clancy, LCSW
• Ryan Clancy
• Dawn Michelle Clark, CRNA,MSN
• Jeff Clark, DC
• Kay Rose Clark, CRNA
• Kristin Ann Clark
• Mary Angelyn Joves Clark, MSN, APRN

• All providers in Walnut Creek, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.