Provider Demographics
NPI:1982877304
Name:MAYER, ROYA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:ROYA
Middle Name:
Last Name:MAYER
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:PO BOX 49177
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-0177
Mailing Address - Country:US
Mailing Address - Phone:310-295-8591
Mailing Address - Fax:
Practice Address - Street 1:200 S BARRINGTON AVE # 177
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-7939
Practice Address - Country:US
Practice Address - Phone:310-295-8591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-19-37813103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst