Alliza Anne Cabrera Kangleon, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25585 Issued in CA

Practice address

161 Butcher Rd Ste B
Vacaville, CA 95687-5685

Phone

(707) 305-1118

NPI assigned

Oct 19, 2016

Last updated

Jul 10, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1629529128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 HELMSLEY DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956878260",
            "telephone_number": "707-342-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BUTCHER RD STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875685",
            "telephone_number": "707-305-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGLEON",
        "first_name": "ALLIZA ANNE",
        "middle_name": "CABRERA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION NUMBER",
            "identifier": "1-17-25585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.