Jessica Sandoval, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB500563 Issued in TX

Practice address

5510 Abrams Rd Ste 112
Dallas, TX 75214-2000

Phone

(469) 906-6372

Fax

(469) 754-0920

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1598256604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "281-826-3382",
            "fax_number": "425-491-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ABRAMS RD STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142000",
            "telephone_number": "469-906-6372",
            "fax_number": "469-754-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "BACB500563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Sandoval
• Alisa M Sandoval, OTR
• Diana Sandoval, PA-C
• Gisela Guadalupe Sandoval, COTA
• Jennifer Sandoval
• Sal S Sandoval, MD
• Sandra E Cuellar DPM , P.C. (Park Cities Foot Center)
• Sandra Illum MD PLLC (Advanced Heart and Vascular Center)
• Sandra Z. Brothers, MD, PA
• Alexander Sands, MD

• Behavior Analyst in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Analyst in Texas

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