Laurie Goldberg Sanders, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1041687 Issued in CA

Practice address

1116 Hayes Rd
McKinleyville, CA 95519

Phone

(707) 502-4919

Fax

(844) 283-0109

NPI assigned

Mar 21, 2012

Last updated

Mar 22, 2019By the provider in NPPES

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

Other names 1

• Laurie Jimenez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1275808354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2902",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955192902",
            "telephone_number": "707-502-4919",
            "fax_number": "844-283-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HAYES RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "95519",
            "telephone_number": "707-502-4919",
            "fax_number": "844-283-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 7th St",
            "address_purpose": "LOCATION",
            "city": "Arcata",
            "state": "CA",
            "postal_code": "955216316",
            "country_code": "US",
            "telephone_number": "707-826-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAURIE",
        "middle_name": "GOLDBERG",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1041687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "JIMENEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.