Selah Aliyah Bourne
Individual provider Active NPI Behavior Analyst · Mentone, CA
NPI 1205720331 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1205720331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1356 Beryl Ave
Mentone, CA 92359-1206 - Phone
- (760) 881-8369
- NPI assigned
- Jun 4, 2025
- 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 | Yes |
Addresses
Primary practice location
1356 Beryl Ave
Mentone, CA 92359-1206
Mailing address
1356 Beryl Ave
Mentone, CA 92359-1206
Phone (760) 881-8369
Other providers in Mentone, CA
- Arrowhead Senior Villas
- Bindiya Bajracharya
- Dejah Janae Benz
- Esther Bolanos
- Braswells Ivy Retreat LTD
- Building a Generation
- Jackie Ann Burman-Solgan
- Rachel Cabuhat
- Yaritza Camacho
All providers in Mentone, 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 Jun 4, 2025. 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.