Provider Demographics
NPI:1669744975
Name:MCALEAR, MATTHEW JOHN (BCBA)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JOHN
Last Name:MCALEAR
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 1:1027 PARK LANE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1124
Mailing Address - Country:US
Mailing Address - Phone:510-290-6060
Mailing Address - Fax:
Practice Address - Street 1:1027 PARK LANE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1124
Practice Address - Country:US
Practice Address - Phone:510-290-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-08-4440103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst