Provider Demographics
NPI:1679953921
Name:BALINGIT, MARIA OMAYMA (BCBA)
Entity type:Individual
Prefix:
First Name:MARIA OMAYMA
Middle Name:
Last Name:BALINGIT
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 MOSAIC CIR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-6213
Mailing Address - Country:US
Mailing Address - Phone:808-304-1855
Mailing Address - Fax:
Practice Address - Street 1:2820 CAMINO DEL RIO S STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3822
Practice Address - Country:US
Practice Address - Phone:858-264-5858
Practice Address - Fax:858-649-6012
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2025-05-06
Deactivation Date:2025-02-20
Deactivation Code:
Reactivation Date:2025-04-10
Provider Licenses
StateLicense IDTaxonomies
HI243103K00000X
CA1-15-20739253Z00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No253Z00000XAgenciesIn Home Supportive Care