Randy Anderson
Behavior Analyst in Pomona, CA. Individual provider (NPI-1).
NPI number1750946935
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1750946935
- Entity type
- Individual (NPI-1)
- Name
- Randy Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2019
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-49938 | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
21 Rancho Camino Dr Ste 101-104Pomona, CA 91766-7019
Phone 909-326-0662
Mailing address
Po Box 740780Atlanta, GA 30374-0780
Phone 855-223-7123 · Fax 619-374-7134
Other practice locations
2990 Inland Empire Blvd Ste 100
Ontario, CA 91764-4899
Ontario, CA 91764-4899
Phone 855-223-7123 · Fax 619-374-7134
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