Provider Demographics
NPI:1013389832
Name:SINHBANDITH, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SINHBANDITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1837 OAK TREE LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95209-4572
Mailing Address - Country:US
Mailing Address - Phone:209-601-6524
Mailing Address - Fax:
Practice Address - Street 1:309 LENNON LN
Practice Address - Street 2:SUITE 104
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2491
Practice Address - Country:US
Practice Address - Phone:925-262-8523
Practice Address - Fax:925-210-0436
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-19437103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst