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Contact Information

SHEENA R ANDERSON
24081 SANDY GLADE AVE
MORENO VALLEY, CA92557-5529
 Phone: 951-525-1990
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for SHEENA R ANDERSON · (Female)

NPI # 1639828049
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2022
Last updated 04/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # CPT-02212289
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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