Alice Naomi Blaj, BCBA
Individual provider Active NPI Behavior Analyst · Fulton, CA
NPI 1366940686 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1366940686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- ABA-B-10257675 (OR)
- Practice address
- PO Box 104
Fulton, CA 95439-0104 - Phone
- (707) 303-6266
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABA-B-10257675 | OR | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Behavior Resources Inc | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | ABA-B-10257675 | OR | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
PO Box 104
Fulton, CA 95439-0104
Mailing address
2468 SW 26TH St
Redmond, OR 97756-9432
Phone (360) 513-3103
Other practice location 1
121 SW Salmon St Fl 11
Portland, OR 97204-2908
Phone (855) 832-6727
Other providers in Fulton, CA
- Cristina Ayala - Magdaleno
- Jessica Ann Cooper
- Bailey Christine Cotter
- Maxwell Dumstorff
- Megan Elizabeth Gamel
- Adanely Garcia Vargas
All providers in Fulton, 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 30, 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.