MEDICARE: MRS. VANDANA SINGH BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	7955	TX
2	103TS0200X	School Psychologist	3825686	AZ
3	103K00000X	Behavior Analyst	0517	NE

General Provider Information

NPI Number	:	1508170879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANDANA SINGH BCBA

Provider Business Mailing Address
First Line	:	1131 S. PHEASANT DRIVE
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296
Country	:	US
Telephone Number	:	480-516-1785
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 N 25TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-1010
Country	:	US
Telephone Number	:	25-176-7566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	03/17/2025

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