Charles Anderson
Individual provider Active NPI Behavior Technician · Burlingame, CA
NPI 1922629633 · NPPES record last updated May 4, 2020
Key facts
- NPI
- 1922629633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1350 Old Bayshore Hwy
Burlingame, CA 94010-1823 - Phone
- (855) 295-3276
- Fax
- (818) 241-6853
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1350 Old Bayshore Hwy
Burlingame, CA 94010-1823
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Other providers in Burlingame, CA
- American Carequest, Inc
- American Medical Response West
- Terrence Amigleo
- Natalie Anikouchine Amundsen
- Rachit Kumar Anand
- Kaitlyn Elizabeth Anderson
- Kristina Diane Anderson
- Gary Dominic Andreacchi
- Anesthesia Care Associates Medical Group Inc
- Brad Angeja
All providers in Burlingame, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.