Provider Demographics
NPI:1134746332
Name:HAMILTON, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24303 ARCADIA ST
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2709
Mailing Address - Country:US
Mailing Address - Phone:818-836-9825
Mailing Address - Fax:
Practice Address - Street 1:19981 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-2626
Practice Address - Country:US
Practice Address - Phone:661-360-7730
Practice Address - Fax:661-360-7834
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-42163103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst