Healthcare Provider Details

I. General information

NPI: 1114831641
Provider Name (Legal Business Name): MSJ ABA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 SHORELINE DR APT 311
ALAMEDA CA
94501-6085
US

IV. Provider business mailing address

1801 SHORELINE DR APT 311
ALAMEDA CA
94501-6085
US

V. Phone/Fax

Practice location:
  • Phone: 707-344-5800
  • Fax:
Mailing address:
  • Phone: 707-344-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHELLE SAN JOSE
Title or Position: FOUNDER
Credential: MSW, BCBA
Phone: 707-344-5800