Individual provider Active NPI

Malena Dawn Scalise, M.A. BCBA

  • Behavior Analyst
  • South Charleston, WV
National Provider Identifier
1861738338
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11212563 Issued in WV
Practice address
538 3Rd Ave
South Charleston, WV 25303-1328
Phone
(304) 546-0897
NPI assigned
Jan 2, 2013
Last updated
Jan 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11212563 WV Primary

Addresses

Primary practice location

538 3Rd Ave
South Charleston, WV 25303-1328

Mailing address

538 3Rd Ave
South Charleston, WV 25303-1328
Phone (304) 546-0897

Other identifiers 1

IdentifierTypeStateIssuer
11212563OtherWVBCBA CERTIFICATION

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11212563WVMDBehavioral Analyst
386WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Positive Behavior Strategies PastSince Nov 5, 2023 Accepting new patients
Applied Behavior Learning Center Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1861738338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 3RD AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031328",
            "telephone_number": "304-546-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 3RD AVE",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031328",
            "telephone_number": "304-546-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISE",
        "first_name": "MALENA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.A. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WV",
            "license": "11212563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATION",
            "identifier": "11212563",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.