Provider Demographics
NPI:1033765797
Name:ALBERTINI, LINDA TAVERA (BCBA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:TAVERA
Last Name:ALBERTINI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:TAVERA
Other - Last Name:JOSLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13446 POWAY RD # 416
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11650 IBERIA PL STE 130
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2431
Practice Address - Country:US
Practice Address - Phone:858-264-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst