Provider Demographics
NPI:1780148866
Name:ALBELAIS, MARIA (BCBA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ALBELAIS
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 CORPORATE CENTER DR STE 304B
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-7673
Mailing Address - Country:US
Mailing Address - Phone:323-796-0353
Mailing Address - Fax:
Practice Address - Street 1:1111 CORPORATE CENTER DR STE 304B
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-7673
Practice Address - Country:US
Practice Address - Phone:323-796-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-34047103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst