Individual provider · Type 1 NPI

Jicelle-Rae Fausto Sandan, BCBA

Behavior Analyst · Gilbert, AZ

NPI number 1902496110 Active · reactivated Oct 7, 2024

Practice location

2730 S Val Vista Dr Bldg 4
Gilbert, AZ 85295-1675

Call (480) 608-4640 Map

Mailing address

2727 E Camelback Rd Apt 348
Phoenix, AZ 85016-4476

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-24-73238

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1902496110

Jicelle-Rae Fausto Sandan, BCBA's National Provider Identifier is 1902496110, issued on Jan 21, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 6, 2025.