Andrea Jesus Sandoval

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

151 8TH St S RM 115
Saint Cloud, MN 56301-4423

Phone

(320) 308-3830

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356165690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6084 BADGER ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624502",
            "telephone_number": "763-954-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 8TH ST S RM 115",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014423",
            "telephone_number": "320-308-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANDREA",
        "middle_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Sand
• Cynthia A Sandberg, CFNP CPNP RN
• Tiffany Nicole Sande, APRN,CNP,DNP
• Paul Robert Sander, MD
• Cherish'a Sanders, RN
• Reina Sandoval
• Ryan David Sandquist
• Cassie Sandstrom, OTR/L
• Leah Carolyn Sanner, RN CNP
• Cassandra Jonai Sanow-Hansen, MSW, LICSW

• Behavior Technician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.