Provider Demographics
NPI:1598412272
Name:SANDOVAL, ADRIANA (BCBA)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10468 INVESTORS PL STE B
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1749
Mailing Address - Country:US
Mailing Address - Phone:757-384-3248
Mailing Address - Fax:540-301-8315
Practice Address - Street 1:10468 INVESTORS PL STE B
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1749
Practice Address - Country:US
Practice Address - Phone:757-384-3248
Practice Address - Fax:540-301-8315
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst