Provider Demographics
NPI:1972491744
Name:MAYO APPLIED BEHAVIOR ANALYSIS LLC
Entity type:Organization
Organization Name:MAYO APPLIED BEHAVIOR ANALYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:DEL CARMEN
Authorized Official - Last Name:AGUILAR ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:503-351-4495
Mailing Address - Street 1:120 N LA REINA CIR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-6368
Mailing Address - Country:US
Mailing Address - Phone:503-351-4495
Mailing Address - Fax:
Practice Address - Street 1:120 N LA REINA CIR
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6368
Practice Address - Country:US
Practice Address - Phone:503-351-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health