Active NPI
Alicia Avella
- Behavior Analyst
- San Francisco, CA
National Provider Identifier
1093062416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 946000417
- Practice address
- 760 Harrison St
San Francisco, CA 94107-1235 - Phone
- (415) 836-1729
- Fax
- (415) 836-1735
- NPI assigned
- Aug 6, 2012
- 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 | 946000417 | CA | Primary |
Addresses
Primary practice location
760 Harrison St
San Francisco, CA 94107-1235
Mailing address
760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 946 000417 | Medicaid | CA |
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 |
|---|---|---|---|
| 946000417 | CA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1093062416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 HARRISON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071235",
"telephone_number": "415-836-1729",
"fax_number": "415-836-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 HARRISON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071235",
"telephone_number": "415-836-1729",
"fax_number": "415-836-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVELLA",
"first_name": "ALICIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "946000417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946 000417",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.