Healthcare Provider Details

I. General information

NPI: 1376045773
Provider Name (Legal Business Name): ARIELLA APPLEBY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E HAMILTON AVE STE 117
CAMPBELL CA
95008-0834
US

IV. Provider business mailing address

700 VALLEJO AVE APT 2
ROSEVILLE CA
95678-5860
US

V. Phone/Fax

Practice location:
  • Phone: 845-814-2642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2841279
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: