Michelle David, BCBA
Individual provider Active NPI Behavior Analyst · Alta Loma, CA
NPI 1053740522 · NPPES record last updated Nov 5, 2013
Key facts
- NPI
- 1053740522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BCBA 1-11-8738
- Practice address
- 8780 19TH St Unit 398
Alta Loma, CA 91701-4608 - Phone
- (888) 618-2327
- Fax
- (888) 918-2327
- NPI assigned
- Nov 5, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA 1-11-8738 | Yes |
Addresses
Primary practice location
8780 19TH St Unit 398
Alta Loma, CA 91701-4608
Mailing address
8780 19TH St Unit 398
Alta Loma, CA 91701-4608
Phone (888) 618-2327
Other providers in Alta Loma, CA
- Joanne Sue Claytor
- L. Todd Cochran
- Natalie Corinne Cochran
- Dominique Connor
- Daniel Quesada David
- Davis Chiropractic PC
- Garet S Davis
- Dr Tom Dental Office
- Michelle Eagle
- Sheree Lynn Earle
All providers in Alta Loma, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.