Healthcare Provider Details

I. General information

NPI: 1952223950
Provider Name (Legal Business Name): SANDRA INFANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 383
SAN JOAQUIN CA
93660-0383
US

IV. Provider business mailing address

22302 NEVADA ST
SAN JOAQUIN CA
93660-9612
US

V. Phone/Fax

Practice location:
  • Phone: 559-885-4210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: