Kristina Anne Sanderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1417568304 Issued in CO

Practice address

1044 W Drake Rd # 100
Fort Collins, CO 80526-3079

Phone

(970) 305-8642

NPI assigned

Aug 13, 2020

Last updated

Feb 9, 2023By 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Autism and Related Disorders LLC

  • Behavior Analyst
  • Fort Collins, CO
  • NPI 1215538632
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1417568304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 GRANITE PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246753",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 W DRAKE RD # 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263079",
            "telephone_number": "970-305-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KRISTINA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "1417568304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen K Sanders, DMD
• Reid Sanders, DO
• Sadie Mae Sanders
• Susanne E Sanders, RXN, NP
• Vanessa R. Sanders, M.D.
• Eve Sandler, LCSW
• Antoinette Sandoval, CMT
• Guadalupe P Sandoval, RN
• Paul A Sandoval, MD
• Sandra Marie Deraney-Reilly

• Behavior Technician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.