Sandra Allen

Individual provider Active NPI Behavior Technician · Lake Isabella, CA

NPI 1629966973 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1629966973
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3009 Elmwood Ave
Lake Isabella, CA 93240-9304
Phone
(559) 201-3514
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3009 Elmwood Ave
Lake Isabella, CA 93240-9304

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Other practice location 1

1333 S Mayflower Ave
Suite 220
Monrovia, CA 91016-4066
Phone (818) 241-6780

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2026.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1629966973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CREEKSIDE RIDGE DR STE 280",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 ELMWOOD AVE",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409304",
            "telephone_number": "559-201-3514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 S Mayflower Ave",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910164066",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "fax_number": "888-588-2752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "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 Lake Isabella, CA

All providers in Lake Isabella, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.