Healthcare Provider Details

I. General information

NPI: 1477493765
Provider Name (Legal Business Name): RICKI ALBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24355 LYONS AVE
NEWHALL CA
91321-2300
US

IV. Provider business mailing address

23808 MILLFORD CT
VALENCIA CA
91354-2618
US

V. Phone/Fax

Practice location:
  • Phone: 661-254-7086
  • Fax: 661-254-7108
Mailing address:
  • Phone: 661-670-1429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: