Sheena Renea Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

24081 Sandy Glade Ave
Moreno Valley, CA 92557-5529

Phone

(951) 525-1990

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1639828049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HIBISCUS DR APT D101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736157",
            "telephone_number": "760-701-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24081 SANDY GLADE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925575529",
            "telephone_number": "951-525-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHEENA",
        "middle_name": "RENEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT-02212289",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dean Anders, CADC-LL
• Harold M Anderson, MFT
• Kierra Kenea-Joi Anderson
• Kristen Marie Anderson, M.D., PH.D.
• Linda Yvette Anderson, APRN, FNP-BC
• Jessica Andrade
• Mira Andraws
• Andrew Price Optometry Inc (Moreno Valley Optometry)
• Haley T Andrews, PHARMD
• Angel of Faith Non Profit Organization

• Behavior Technician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.