IndividualActive
Sage Cannon
NPI 1528656063 · Behavior Technician · San Diego, CA
Sage Cannon is a Behavior Technician provider in San Diego, CA (NPI 1528656063).
Provider details
- NPI number
- 1528656063
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11650 Iberia Pl Ste 130
San Diego, CA 92128-2431
Phone: (858) 264-5858
Fax: (858) 649-6012
Street-level locationGet directions
Mailing address
6345 El Cajon Blvd
San Diego, CA 92115-5571
Registry dates
- Enumerated
- 2021-01-08
- Last updated
- 2021-01-08
- Certified
- 2021-01-08
Frequently asked questions
- What is Sage Cannon's NPI number?
- Sage Cannon's National Provider Identifier (NPI) is 1528656063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sage Cannon's specialty?
- Sage Cannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Sage Cannon located?
- Sage Cannon's practice location on file with NPPES is 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431.
- What is Sage Cannon's phone number?
- The practice phone number listed in the NPPES registry for Sage Cannon is (858) 264-5858.
- Is Sage Cannon's NPI active?
- Yes — Sage Cannon's NPI (1528656063) is active in the NPPES registry as of the last update on 2021-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.