Jicelle-Rae Fausto Sandan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-73238

Practice address

2730 S Val Vista Dr BLDG 4
Gilbert, AZ 85295-1675

Phone

(480) 608-4640

NPI assigned

Jan 21, 2021

Reactivated

Oct 7, 2024

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

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.

• Action Behavior Centers, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1841654050
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1902496110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 E CAMELBACK RD APT 348",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164476",
            "telephone_number": "757-802-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR BLDG 4",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951675",
            "telephone_number": "480-608-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAN",
        "first_name": "JICELLE-RAE",
        "middle_name": "FAUSTO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "deactivation_date": "2024-08-09",
        "reactivation_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-73238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Joseph Sanchez, D.D.S., M.S.
• Emily Romney Sanchez, LMSW
• Jamella Garcia Sanchez, MSW
• Lauren Sanchez, SLP
• Judi Lynn Sand, LMSW
• Brandy Lee Sanders, P.T., D.P.T.
• Christy Sanders
• Lisa Sanders, ACNP
• Susanne Sanders
• Kristen Sanderson

• Behavior Analyst in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.