Provider Demographics
NPI:1891178869
Name:UMALI, CHERYL (BCBA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:UMALI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 CORBIN AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3372
Mailing Address - Country:US
Mailing Address - Phone:747-444-7731
Mailing Address - Fax:
Practice Address - Street 1:9010 CORBIN AVE STE 11
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3372
Practice Address - Country:US
Practice Address - Phone:747-444-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11313810103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst