Healthcare Provider Details

I. General information

NPI: 1922485622
Provider Name (Legal Business Name): SHERYL HOANG-ALI BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2015
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1652 LA CANADA DR
BREA CA
92821-1824
US

IV. Provider business mailing address

1652 LA CANADA DR
BREA CA
92821-1824
US

V. Phone/Fax

Practice location:
  • Phone: 626-808-6870
  • Fax:
Mailing address:
  • Phone: 626-808-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-17975
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: