Carla Marie Walden

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7417 Issued in CA

Practice address

12188 Central Ave # 590
Chino, CA 91710-2420

Phone

(909) 393-6591

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

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

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.

• Communication a to Z

  • Behavior Analyst
  • Chino, CA
  • NPI 1013261155
  NPD (past) Authorized official

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1578817615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12188 CENTRAL AVE # 590",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188 CENTRAL AVE # 590",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102420",
            "telephone_number": "909-393-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-10-7417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Vu
• VI Vu
• Osmond Waheed, D.O.
• Joshua Wakefield
• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co.
• Maryam Walizada, MD
• Kolbyann Mashian Walker, DC
• Sharon Louise Wallace, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.