Andrea Sandbach, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-42204

Practice address

2722 Dawson Rd Ste 1
Albany, GA 31707-1696

Phone

(229) 396-5596

Fax

(229) 396-4971

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Compass Behavioral & Developmental Consultants LLC

  • Behavior Analyst
  • Valdosta, GA
  • NPI 1134553985
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1831679299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 US HIGHWAY 82 E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317949347",
            "telephone_number": "229-396-5596",
            "fax_number": "229-396-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 DAWSON RD STE 1",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071696",
            "telephone_number": "229-396-5596",
            "fax_number": "229-396-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBACH",
        "first_name": "ANDREA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-42204",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Clinic, Incorporated
• Steven Dwight Sample, D.D.S.
• Sams East Inc
• Rotimi B. Samuel, M.D.
• Detrich Darlene Sanchez
• William Andrew Sandbach, DMD
• Judith A Sanders, NNP
• Katelyn Anne Sanders, DO
• Michael Bernard Sanders, MASTER COSMETOLOGIST
• Stacey Renee Sanders, MS OTRL

• Behavior Analyst in Albany, GA
• Providers in Albany, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.