Individual provider Active NPI

Shaleah Sanders

  • Behavior Technician
  • Roseville, CA
National Provider Identifier
1487155693
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5098 Foothills Blvd # 3-441
Roseville, CA 95747-6526
Phone
(916) 773-0211
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CA
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5098 Foothills Blvd # 3-441
Roseville, CA 95747-6526

Mailing address

7750 Glenn Ave
Citrus Heights, CA 95610-1509

Other practice location 1

7750 Glenn Ave
Citrus Heights, CA 95610
Phone (855) 832-6727 ext. 1420

Other practice location 2

7750 Glenn Ave
Citrus Heights, CA 95610
Phone (855) 832-6727 ext. 1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Get Social Therapy Behavior Analyst PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1487155693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 GLENN AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956101509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5098 FOOTHILLS BLVD # 3-441",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476526",
            "telephone_number": "916-773-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 Glenn Ave",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "95610",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7750 Glenn Ave",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "95610",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHALEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.