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

Individual provider Behavior Analyst · NPI 1235517855

Rene Sandoval, BCBA is a Behavior Analyst in Phoenix, Arizona. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

4530 E Muirwood Dr Ste 103
Phoenix, AZ 85048-7639
Phone: (480) 610-6981
Fax: (480) 898-7419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-14-17744 (CA)

Record details

NPI number1235517855
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address5530 Corbin Ave Ste 326, Tarzana, CA 91356-6037

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