Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JICELLE-RAE FAUSTO SANDAN, BCBA
DeactivatedJICELLE-RAE FAUSTO SANDAN, BCBA is a Behavior Analyst healthcare provider located in GILBERT, Arizona. NPI 1902496110 is deactivated in the NPPES registry. Verify at CMS.
Behavior Analyst · GILBERT, AZ
This NPI has been deactivated.
The record was deactivated on August 9, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1902496110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2021 (3.5491803278689 yrs)
- Last Updated
- Jan 6, 2025
- Deactivated
- Aug 9, 2024
- License
-
1-24-73238
Practice Information
- Address
-
2730 S VAL VISTA DR BLDG 4GILBERT, AZ, 852951675Browse AZ providers · Browse ZIP 85295
- Phone
- 4806084640
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| BRYAN JAMES DAVEY | PHD, BCBA | 1124214432 |
| ANDREA DAWN DAVEY | MED. BCBA | 1932395043 |
| MRS. KRISTINE NICOLE MOONEY | M.ED., BCBA, LBA | 1982869913 |
| MRS. DIANA MARIE DAVIS WILSON | M.ED, BCBA | 1740519974 |
| KATHLEEN WALSH | MT-BC, M.ED., BCBA | 1184955627 |
| MR. REVELL KAY MILLER JR. | LAC | 1497066633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.