Individual provider · NPI-1

Sadarius Demond Anderson

Day Training/Habilitation Specialist · Gardena, CA

NPI number1174489587
StatusActive
Last updated in NPPESJan 30, 2026

Details

NPI
1174489587
Entity type
Individual (NPI-1)
Name
Sadarius Demond Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 30, 2025
Certification date
Jan 30, 2026
Last updated
Jan 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

1225 W 190th St Ste 280
Gardena, CA 90248-4305

Phone 877-515-8113

Mailing address

14541 Delano St
Van Nuys, CA 91411-2820

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