Provider Demographics
NPI:1407131204
Name:ZALDIVAR, MARIA LUISA (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LUISA
Last Name:ZALDIVAR
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 W RIVERSIDE AVE STE 4691
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0580
Mailing Address - Country:US
Mailing Address - Phone:360-605-0163
Mailing Address - Fax:855-959-2451
Practice Address - Street 1:522 W RIVERSIDE AVE STE 4691
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:360-605-0163
Practice Address - Fax:855-959-2451
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst