Sandra Charles

Key facts

NPI

1285435263

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

2496 W 4700 S
Taylorsville, UT 84129-1655

Phone

(801) 935-4171

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 24, 2025.

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1285435263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD STE 830",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291655",
            "telephone_number": "801-935-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

• Dayoung Chang, RN
• Gillian Chapman
• Michael Chapman
• Marcel C Chappuis, PH.D.
• Jasmin Elizabeth Charles, PA-C
• Beth Chase
• Kyleigh Chatterton
• Jenalee Shawna Chatwin
• Carmina Chavez
• Dustin Chavez

All providers in Taylorsville, UT · Behavior Technician in Utah