Healthcare Provider Details

I. General information

NPI: 1538403142
Provider Name (Legal Business Name): XYLENE CONTAOI BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E 6TH ST
MESA AZ
85203-7118
US

IV. Provider business mailing address

9620 CHESAPEAKE DR STE 105
SAN DIEGO CA
92123-1324
US

V. Phone/Fax

Practice location:
  • Phone: 480-359-4160
  • Fax:
Mailing address:
  • Phone: 714-834-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCABA 0-10-3966
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-9698
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: