Qiana Sanders

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-83754 Issued in VA

Practice address

5606 Virginia Beach Blvd
Virginia Beach, VA 23462-5631

Phone

(891) 107-1400

NPI assigned

May 9, 2019

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1396300844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 PENSHURST WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567850",
            "telephone_number": "757-309-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625631",
            "telephone_number": "891-107-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "QIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-19-83754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "RBT-19-83754",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "qvsanders131@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5606 Virginia Beach Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234625631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deirdre Sanderlin
• Deborah Lynne Sanders, LCSW
• Laquita Sanders
• Leah Dare Sanders
• Michelle Sanders
• Susan Lee Sanders, DNP, FNP-C, PMHNP-BC
• Raven Sanderson
• Shakeeya Sanderson
• Madeline Elise Ridout Sandifer, LPTA
• Sandstone Care Virginia, LLC

• Behavior Technician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.