Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Sandoval

Individual provider Behavior Technician · NPI 1053178889

Genesis Sandoval is a Behavior Technician in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

14765 W Mountain View Blvd # 107
Surprise, AZ 85374-2704
Phone: (602) 649-0245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1053178889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESFebruary 28, 2024
Certification dateFebruary 28, 2024
Mailing address14765 W Mountain View Blvd # 107, Surprise, AZ 85374-2704

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