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NPI Code Detail

MEDICARE: ANDREW ALBERT VIANA

MEDICARE: ANDREW ALBERT VIANA
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 TechnicianCA

General Provider Information

NPI Number : 1508718412
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW ALBERT VIANA
Provider Business Mailing Address
First Line : 1075 CREEKSIDE RIDGE DR STE 280
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-3504
Country : US
Telephone Number : 530-443-1068
Fax Number :
Provider Business Practice Location Address
First Line : 1067 MILLET WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1446
Country : US
Telephone Number : 530-443-1068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ ANDREW ALBERT VIANA ” Practice Location

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