Active NPI
Andrea Spence
- Behavior Analyst
- Santa Rosa, CA
National Provider Identifier
1669840054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11519040
- Practice address
- 1160 N Dutton Ave Ste 140
Santa Rosa, CA 95401-4652 - Phone
- (855) 223-7123
- NPI assigned
- Sep 2, 2015
- Last updated
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11519040 | CA | Primary |
Addresses
Primary practice location
1160 N Dutton Ave Ste 140
Santa Rosa, CA 95401-4652
Mailing address
PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11519040 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Kids | Behavior Analyst | Past | Accepting new patients |
| Advance Kids | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Sacramento, CA
- NPI 1366674210
-
- Behavior Analyst
- Sacramento, CA
- NPI 1831079615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1669840054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33568",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633568",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 N DUTTON AVE STE 140",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014652",
"telephone_number": "855-223-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11519040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Spectrum O & P of Santa Rosa (Spectrum Orthotics & Prosthetics)
- Spectrum of Santa Rosa (Spectrum Orthotics & Prosthetics)
- Speech Ally, Speech Pathology Corporation
- Megan Sloane Speed
- Gloria Diane Speicher, PH.D
- Kathleen P. Spence
- Benjamin Allen Spencer, D.C
- Kelsey Marie Spencer
- Yolanda M. Spencer, LVN, CPT1
- John Daniel Spenst, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.