Healthcare Provider Details

I. General information

NPI: 1972199446
Provider Name (Legal Business Name): ISABEL CHRISTINA DONALDSON MA, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 REDHILL AVE STE 100
SANTA ANA CA
92705-5518
US

IV. Provider business mailing address

10201 CUTTY SARK DR
HUNTINGTON BEACH CA
92646-4305
US

V. Phone/Fax

Practice location:
  • Phone: 747-286-2600
  • Fax:
Mailing address:
  • Phone: 661-645-9561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73042
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: