Provider Demographics
NPI:1285383083
Name:SANSOME, APRIL CIJI
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:CIJI
Last Name:SANSOME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 HUDSON CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-7596
Mailing Address - Country:US
Mailing Address - Phone:909-238-2447
Mailing Address - Fax:
Practice Address - Street 1:6851 HUDSON CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-7596
Practice Address - Country:US
Practice Address - Phone:909-238-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician