Provider Demographics
NPI:1821809856
Name:SAYASENG, JOANNA (BI)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SAYASENG
Suffix:
Gender:F
Credentials:BI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N COMMONWEALTH AVE # 4128
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3602
Mailing Address - Country:US
Mailing Address - Phone:559-978-2868
Mailing Address - Fax:
Practice Address - Street 1:12062 VALLEY VIEW ST STE 210
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1739
Practice Address - Country:US
Practice Address - Phone:562-356-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst