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Active NPI 1437619319 Individual Practitioner Female Practitioner

Jeannise Sandoval , RECREATION THERAPIST

Behavior Analyst • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Jeannise Sandoval, RECREATION THERAPIST is a registered healthcare professional specializing in Behavior Analyst in Long Beach, CA. Practice services are available at 330 GOLDEN SHR STE 250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

330 Golden Shr Ste 250

Long Beach, CA 908024270

Telephone 5622567550
Fax 8009855002

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
166 Specialists

Practicing in Long Beach, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 5278-T

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Hurube Debela-Sledge

Occupational Therapy Assistant

NPI 1114284627
Nicole Saiz , COTA, L

Occupational Therapy Assistant

NPI 1154726727

Certified Occupational Therapy Assistant, L

Kathryn Deagon

Physical Therapist

NPI 1245579366
NPI 1245602952

CMA(AAMA)

Beverly Jamison Pennicooke , PTA

Physical Therapy Assistant

NPI 1245605005

Physical Therapist Assistant

Ronald Byrum

Physical Therapy Assistant

NPI 1275892390

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 25, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 25, 2019

Registered at 330 GOLDEN SHR STE 250, LONG BEACH, CA 908024270 (Tel: 5622567550)

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Updated Business Mailing Address March 25, 2019

Registered at 13839 FAIRLOCK AVE, PARAMOUNT, CA 907232108 (Tel: 5624809332)

👤
Provider Name / Credentials Updated March 25, 2019

Recorded as JEANNISE SANDOVAL, RECREATION THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Behavior Analyst (License #5278-T in CA)

🟢
Initial NPI Registration & Enumeration March 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437619319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2019
Last Update: March 25, 2019
Sole Proprietor: Yes

Mailing Address

13839 Fairlock Ave

Paramount, CA 907232108

Phone: 5624809332

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.