Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Andrea Spence

Behavior Analyst β€’ Santa Rosa, CA

Active NPI 1669840054 Individual Practitioner Female Practitioner
Practice location in NPPES

1160 N Dutton Ave Ste 140
Santa Rosa, CA 954014652

Call 8552237123 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1160 N Dutton Ave Ste 140

Santa Rosa, CA 954014652

Telephone 8552237123
Organization at the Same NPPES Address or Phone
Aces 2020, Llc Facility NPI 1003778267

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Santa Rosa and California

52 active clinicians are listed under Behavior Analyst with a practice address in Santa Rosa, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Santa Rosa

0% of these 52 clinicians have the CMS telehealth indicator.

0% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 11519040

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location November 21, 2025

Registered at 1160 N DUTTON AVE STE 140, SANTA ROSA, CA 954014652 (Tel: 8552237123)

πŸ“
Updated Business Mailing Address November 21, 2025

Registered at PO BOX 33568, SAN DIEGO, CA 921633568 (Tel: 8552237123)

βœ…
NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 02, 2015

Registered at 9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 958273334 (Tel: 9163636103)

πŸ“
Business Mailing Address (Initial Record) September 02, 2015

Registered at 9755 LINCOLN VILLAGE DR, SACRAMENTO, CA 958273334 (Tel: 9163636103)

πŸ‘€
Provider Name / Credentials (Initial Record) September 02, 2015

Recorded as ANDREA SPENCE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Behavior Analyst (license number reported to NPPES: CA 11519040)

🟒
Initial NPI Registration & Enumeration September 02, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669840054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2015
Last Update: November 21, 2025
Sole Proprietor: No

Mailing Address

Po Box 33568

San Diego, CA 921633568

Phone: 8552237123

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.