David James Anderson, BA, RBT
Individual provider Active NPI Behavior Technician · Riverbank, CA
NPI 1679043293 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1679043293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5501 Antique Rose Way
Riverbank, CA 95367 - Phone
- (209) 521-6519
- NPI assigned
- Nov 27, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Autism Project, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5501 Antique Rose Way
Riverbank, CA 95367
Mailing address
3425 Coffee Road Suite C2
Modesto, CA 95355-1582
Other providers in Riverbank, CA
- Celeste Amescua
- Jumanah Amin
- Tiffany Amo
- Katia Anaya Kruse
- Isabella Andersen
- Jasmyn Andry
- Gabryelle Angel
- Valeria Anguiano Gomez
- Karina Angulo
- Chidera Aniche
All providers in Riverbank, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.