Individual provider Active NPI

Sandra Cossio

  • Behavior Analyst
  • Brea, CA
National Provider Identifier
1699162933
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4756 Issued in CA
Practice address
2761 Saturn St Ste J
Brea, CA 92821-6707
Phone
(562) 889-4256
Fax
(888) 891-6599
NPI assigned
Apr 24, 2015
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBA0098 NV
Behavior Analyst 103K00000X 1-08-4756 CA Primary

Addresses

Primary practice location

2761 Saturn St Ste J
Brea, CA 92821-6707

Mailing address

2043 San Francisco Ave
Long Beach, CA 90806-4146
Phone (562) 889-4256

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

LicenseStateTypeSpecialty
LBA0098NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Aultruism, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1699162933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 SAN FRANCISCO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064146",
            "telephone_number": "562-889-4256",
            "fax_number": "888-891-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 SATURN ST STE J",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216707",
            "telephone_number": "562-889-4256",
            "fax_number": "888-891-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSIO",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0098",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-08-4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.