Healthcare Provider Details

I. General information

NPI: 1649738519
Provider Name (Legal Business Name): MICHELLE STEPHANIE SANFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S MOONEY BLVD
VISALIA CA
93277-4403
US

IV. Provider business mailing address

612 S MYRTLE AVE STE 100
MONROVIA CA
91016-3406
US

V. Phone/Fax

Practice location:
  • Phone: 800-207-0272
  • Fax:
Mailing address:
  • Phone: 855-223-7123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-64109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: