Sharronda Allen, BCBA
Individual provider Active NPI Behavior Analyst · La Mesa, CA
NPI 1124385398 · NPPES record last updated Jul 19, 2012
Key facts
- NPI
- 1124385398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-11-8724
- Practice address
- 7373 University Ave Ste 114
La Mesa, CA 91942-0523 - Phone
- (619) 403-0637
- NPI assigned
- Apr 12, 2012
- 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 | 1-11-8724 | Yes |
Addresses
Primary practice location
7373 University Ave Ste 114
La Mesa, CA 91942-0523
Mailing address
7373 University Ave Ste 114
La Mesa, CA 91942-0523
Phone (619) 403-0637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11-8724 | Other | BCBA |
Other providers in La Mesa, CA
- Roshanak Alialy
- Ann Alkhoury
- Christine Allen
- David Ryan Allen
- Forrest B. Allen
- Alliance Home Health-Inc
- Alliance Mobile Nursing Practitioner Inc
- Alliance Retina Consultants, Inc
- Elizabeth Carol Allman
- Ziad Allos
All providers in La Mesa, 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 Jul 19, 2012. 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.