Amanda Deanda

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11344 Coloma Rd Ste 570
Gold River, CA 95670-6304

Phone

(916) 676-0488

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 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

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1447958897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 SAN BENITO WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956105725",
            "telephone_number": "916-926-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 COLOMA RD STE 570",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956706304",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANDA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey R. Bafford, DMD, Inc. (Gold River Dentistry)
• Sparkle S Crenshaw
• Paul Ellis Cripe, D.D.S.
• D.L. Markham, DDS, MSD, Inc (Markham Orthodontics)
• Celeste Danzi
• Eileen Louise Degruccio, LMFT
• Alyssa Lorene Dickerman
• Joel Joseph Dickson, D.C.
• Dignity Health Medical Foundation (Mercy Medical Group, a service of Dignity Health Medical Foundation)
• Jazzmine Renee Donley

• Behavior Technician in Gold River, CA
• Providers in Gold River, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.