NPIMap

Organization Active NPI

Alba Behavioral Health

  • Behavior Analyst
  • Eagle River, AK
National Provider Identifier
1124603188
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ALBA BEHAVIORAL HEALTH
Practice address
17301 Beaujolais Cir
Eagle River, AK 99577-7513
Phone
(907) 232-5282
NPI assigned
Mar 11, 2021
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marie Shela L Salonga, BA, BCABA, LABANPI 1083145833
Title
Ceo
Phone
(907) 232-5282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

17301 Beaujolais Cir
Eagle River, AK 99577-7513

Mailing address

17301 Beaujolais Cir
Eagle River, AK 99577-7513
Phone (907) 232-5282

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address shela.salonga@albabehavioralhealth.com Direct
Direct Messaging Address shela.salonga@albabehavioralhealth.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: shela.salonga@albabehavioralhealth.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1124603188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17301 BEAUJOLAIS CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777513",
            "telephone_number": "907-232-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17301 BEAUJOLAIS CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777513",
            "telephone_number": "907-232-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "SALONGA",
        "authorized_official_first_name": "MARIE SHELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-232-5282",
        "authorized_official_credential": "BA, BCABA, LABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shela.salonga@albabehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17301 Beaujolais Cir",
            "city": "Eagle River",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995777513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shela.salonga@albabehavioralhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17301 Beaujolais Cir",
            "city": "Eagle River",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995777513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.