Active NPI
Malaak Alkhuder
- Behavior Analyst
- Irvine, CA
National Provider Identifier
1063063501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- Y2265462
- Practice address
- 106 Discovery
Irvine, CA 92618-3131 - Phone
- (949) 203-8872
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Y2265462 | CA | Primary |
Addresses
Primary practice location
106 Discovery
Irvine, CA 92618-3131
Mailing address
6970 Penny CT
Rancho Cucamonga, CA 91739-2564
Phone (909) 223-5553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y2265462 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1063063501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6970 PENNY CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392564",
"telephone_number": "909-223-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 DISCOVERY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183131",
"telephone_number": "949-203-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHUDER",
"first_name": "MALAAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "Y2265462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.