Alisa Rochelle Mowry

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26657 Issued in CA

Practice address

3702 Ruffin Rd Ste 100
San Diego, CA 92123-1893

Phone

(619) 297-4300

NPI assigned

Jun 23, 2017

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

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.

• Gregory Carinci Psychology Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1851738934
  NPD

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1700306396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 OSBORNE TER",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 RUFFIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231893",
            "telephone_number": "619-297-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581201",
            "country_code": "US",
            "telephone_number": "760-721-1706",
            "fax_number": "760-721-9872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "ALISA",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-26657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansoor Movaghar, MD
• Malahat Movahedian, M.D.
• Movement Matters Collective
• Cindy Jean Mowatt, CPO, CFM
• Austin Ochuko Mowoe
• James Eric Mowry, R.N.
• David Moxley
• Jeffrey Moy, D.O.
• Nancy Babaran Moy
• Jeannette Moya Villanueva

• Behavior Analyst in San Diego, CA
• Providers in San Diego, 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 18, 2022; 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.