Healthcare Provider Details

I. General information

NPI: 1447195912
Provider Name (Legal Business Name): SANSID ABA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 WILLOW PASS RD STE 600
CONCORD CA
94520-5292
US

IV. Provider business mailing address

4170 SUZANNE DR
PITTSBURG CA
94565-6417
US

V. Phone/Fax

Practice location:
  • Phone: 408-483-2051
  • Fax:
Mailing address:
  • Phone: 408-483-2051
  • Fax: 408-483-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: DENIS SANPEDRO DUARTE
Title or Position: CEO
Credential:
Phone: 408-483-2051