Active NPI
Darrell Cornell Sanders Jr.
- Behavior Technician
- San Antonio, TX
National Provider Identifier
1740037332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-230971
- Practice address
- 15656 Classen Rd
San Antonio, TX 78247 - Phone
- (210) 797-7181
- NPI assigned
- May 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Technician | 106S00000X | 22-230971 | TX | Primary |
Addresses
Primary practice location
15656 Classen Rd
San Antonio, TX 78247
Mailing address
15656 Classen Rd
San Antonio, TX 78247
Phone (210) 797-7181
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 |
|---|---|---|---|
| 22-230971 | TX | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twinkle Autism Therapy, LLC | Behavior Technician | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1740037332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15656 CLASSEN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78247",
"telephone_number": "210-797-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15656 CLASSEN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78247",
"telephone_number": "210-797-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "DARRELL",
"middle_name": "CORNELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "22-230971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.