Provider Demographics
NPI:1033652979
Name:ABALOS, BARBARA BERNUCCI (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:BERNUCCI
Last Name:ABALOS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:PATRICIA
Other - Last Name:ABALOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA
Mailing Address - Street 1:1211 8TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-5808
Mailing Address - Country:US
Mailing Address - Phone:866-273-2451
Mailing Address - Fax:
Practice Address - Street 1:1211 8TH ST STE C
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5808
Practice Address - Country:US
Practice Address - Phone:866-273-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-26
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-23257103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1-16-23257OtherBEHAVIOR ANALYST CERTIFICATION BOARD (BACB)
CA1033652979OtherBEHAVIOR ANALYST CERTIFICATION BOARD