Provider Demographics
NPI:1821553033
Name:MALDONADO, ALBERTO (BCBA)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:MALDONADO
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 1:2823 KINNOW PL
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4776
Mailing Address - Country:US
Mailing Address - Phone:626-201-5813
Mailing Address - Fax:
Practice Address - Street 1:2823 KINNOW PL
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-4776
Practice Address - Country:US
Practice Address - Phone:626-201-5813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-18-34178103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst