Desiree Nicole Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9600 Center Ave Ste 160
Rancho Cucamonga, CA 91730-5838

Phone

(858) 264-5858

NPI assigned

May 30, 2025

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.

• Abs Psychology Services California

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1336659002
  NPD
• Alternative Behavior Strategies, LLC

  • Community/Behavioral Health Agency
  • Rancho Cucamonga, CA
  • NPI 1962765693
  NPD

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1205729100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "STE 900",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "801-316-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 CENTER AVE STE 160",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305838",
            "telephone_number": "858-264-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Hospice Inc
• And Still I Rise Marriage and Family Therapy
• Ashley Rose Anderson
• Cynthia Anderson
• Deborah Anderson
• Elisabeth Anderson
• Kelly Anderson, RN
• Kendra L Anderson, RBT
• Kristina M Anderson, LMFT
• Lauren Anderson

• Behavior Technician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.