Leo Aldair Maldonado-Canales

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

711 Colorado Ave
Palo Alto, CA 94303-3912

Phone

(650) 938-3600

NPI assigned

Nov 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapeutic Learning Consultants, Inc.

  • Community/Behavioral Health Agency
  • Burlingame, CA
  • NPI 1710298500
  NPD
• Center for Learning and Autism Support Services, Inc.

  • Early Intervention Provider Agency
  • San Mateo, CA
  • NPI 1417139288
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1326649591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 FAIRMOUNT ST APT A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312716",
            "telephone_number": "415-297-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COLORADO AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033912",
            "telephone_number": "650-938-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO-CANALES",
        "first_name": "LEO",
        "middle_name": "ALDAIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Maki, MD
• Odiri Maku, NP
• Charles Malak, NP
• Emily Malamud, MD
• Mira Chetan Malavia, BA
• Christian Maldonado, ATC
• Rhonda Malinao, PA-C
• Ritika Malkani, OCCUPATIONAL THERAPI
• Lakshmeeramya Malladi, MD
• Ann Marie Mallari, RN

• Behavior Technician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.