Michelle May Dela Llana Candelario, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18072 Issued in CA

Practice address

2822 E St
Eureka, CA 95501-4332

Phone

(855) 295-3276

Fax

(818) 241-6853

NPI assigned

Apr 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle May Maraccini Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1215322201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N BRAND BLVD",
            "address_2": "#1000",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031906",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 E ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014332",
            "telephone_number": "855-295-3276",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA LLANA CANDELARIO",
        "first_name": "MICHELLE",
        "middle_name": "MAY",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-18072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-15-18072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARACCINI",
            "middle_name": "MAY",
            "credential": "MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Armita Dehmoobadsharifabadi, DDS
• Amy Dejung
• Annie Dekruse, RN
• Jet Louise Dekruse
• Katrina Del Biaggio
• Nathaniel Griffith Demay, PA-C
• Carrie A Demery, RN
• John Denizio, BCBA
• Amy Lyn Denton, RN
• Michael Deppecarter

• Behavior Analyst in Eureka, CA
• Providers in Eureka, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.