Sam Brandel
Individual provider Active NPI Behavior Technician · Stanton, CA
NPI 1962238675 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1962238675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 8022 La Monte Rd
Stanton, CA 90680-3626 - Phone
- (833) 922-2669
- NPI assigned
- Sep 10, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts of ABA | Current |
Accepting new patients |
Locations
8022 La Monte Rd
Stanton, CA 90680
Phone (833) 922-2669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
8022 La Monte Rd
Stanton, CA 90680-3626
Mailing address
8022 La Monte Rd
Stanton, CA 90680-3626
Phone (833) 922-2669
Other providers in Stanton, CA
- Kamaliah Binti Jalalonmuhali
- Thomas Michael Boone
- Jeffery Boots
- Morgan Leigh Boyer
- Rachel Laura Bradley
- Glen Brinagh
- Melissa Kiyo Broberg
- Tamara Brown
- Melvin Broxton
- Gracie Bui
All providers in Stanton, 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 Sep 10, 2024. 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.