Sandra Watkins, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-21166 Issued in CA

Practice address

1710 S Amphlett Blvd
314
San Mateo, CA 94402-2703

Phone

(650) 242-0179

Fax

(650) 242-8202

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Pacific Autism Learning Services, Inc

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1336435734
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1831547132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "314",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-242-0179",
            "fax_number": "650-242-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "314",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-242-0179",
            "fax_number": "650-242-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SANDRA",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-21166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Rachel Washburn
• Chyvonne Washington
• Lygeia Marie Washington
• Mark Sapaen Watan, L.AC.
• Sarah Eugenia Watermulder
• Susan Kay Watkins, PSYD MFT
• Frederick Sommervil Watson, M.D.
• Gianna Leanne Watson
• Ann Watters, PHD
• Thomas Alan Watters, M.D.

• Behavior Analyst in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.