ALEXANDER CLARK SCHALLA (NPI# 1083191951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083191951 |
| Entity Type | Individual |
| Full Name | ALEXANDER CLARK SCHALLA |
| Credential | BCBA, LBA |
| Practice Address |
1710 S Amphlett Blvd Ste 216 San Mateo CA 94402-2705 |
| Practice Telephone | 6509316300 |
| Mailing Telephone | 6509316300 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1710 S Amphlett Blvd Ste 110, San Mateo, CA 944022704 | 6509316300 | |
| 205 Portland St, Columbia, MO 652016521 | 5738844660 |
| Street Address |
1710 S AMPHLETT BLVD STE 216 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508415688 | Christine Feng | Behavior Technician | 1710 S Amphlett Blvd Ste 216, San Mateo, CA 94402-2705 | 2019-09-10 |
| 1235788316 | Maxine Legaspi | Behavior Technician | 1710 S Amphlett Blvd Ste 216, San Mateo, CA 94402-2705 | 2019-09-10 |
| 1871142950 | Alexie Tyler Chapman | Behavior Technician | 1710 S Amphlett Blvd Ste 216, San Mateo, CA 94402-2705 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188734 | Jannelle Nicole Zamora | Behavioral Analyst | 3050 Los Prados St Apt 25, San Mateo, CA 94403-2028 | 2020-09-14 |
| 1982137865 | Jhene Lilia Amasa | Behavioral Analyst | 3555 Edison St Apt G, San Mateo, CA 94403-3419 | 2017-04-06 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1205297926 | Megan Al Jamea | Behavioral Analyst | 269 36th Ave, San Mateo, CA 94403-4201 | 2016-03-08 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1306201678 | Jessica Solari | Behavioral Analyst | 924 Peninsula Ave, San Mateo, CA 94401-1506 | 2015-12-30 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| 1922470228 | Lisa Dawn Register | Behavioral Analyst | 3720 Alameda De Las Pulgas, San Mateo, CA 94403-4115 | 2015-10-26 |
| 1649669060 | Kristin Nicholl | Behavioral Analyst | 1710 S Amphlett Blvd Ste 314, San Mateo, CA 94402-2736 | 2015-01-22 |
| 1649577966 | Deidra Lynn Meyers | Behavioral Analyst | 422 Peninsula Ave, San Mateo, CA 94401-1653 | 2011-02-23 |
| Find all providers in SAN MATEO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.