Active NPI
Alisa Renee Espana, MA, BCBA
- Behavior Analyst
- Petaluma, CA
National Provider Identifier
1699259994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28299
- Practice address
- 1670 Corporate Cir Ste 100
Petaluma, CA 94954 - Phone
- (507) 951-8556
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-28299 | CA | Primary |
Addresses
Primary practice location
1670 Corporate Cir Ste 100
Petaluma, CA 94954
Mailing address
1670 Corporate Cir Ste 100
Petaluma, CA 94954-6947
Phone (507) 951-8556
Other practice location 1
160 Wikiup Dr Ste 102
Santa Rosa, CA 95403-7776
Phone (507) 951-8556
Other practice location 2
2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598
Phone (507) 951-8556
Other practice location 3
2730 Shadelands Dr Bldg 10
Walnut Creek, CA 94598
Phone (507) 951-8556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1699259994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CORPORATE CIR STE 100",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546947",
"telephone_number": "507-951-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CORPORATE CIR STE 100",
"city": "PETALUMA",
"state": "CA",
"postal_code": "94954",
"telephone_number": "507-951-8556"
}
],
"practiceLocations": [
{
"address_1": "160 Wikiup Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954037776",
"country_code": "US",
"telephone_number": "507-951-8556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 Shadelands Dr Bldg 10",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "94598",
"country_code": "US",
"telephone_number": "507-951-8556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2730 Shadelands Dr Bldg 10",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "94598",
"country_code": "US",
"telephone_number": "507-951-8556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPANA",
"first_name": "ALISA",
"middle_name": "RENEE",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-17-28299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.