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NPI Code Detail

MEDICARE: SANDRA FELICIANO

MEDICARE: SANDRA FELICIANO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1881453090
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA FELICIANO
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 19318 JESSE LN STE 100
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-5071
Country : US
Telephone Number : 951-900-7411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 01/06/2026

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Directions to “ SANDRA FELICIANO ” Practice Location

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