Healthcare Provider Details

I. General information

NPI: 1578215067
Provider Name (Legal Business Name): MARY ELIZABETH MCALPINE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY ELIZABETH CHRISTIAN

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 EDINA INDUSTRIAL BLVD STE 200
EDINA MN
55439-2926
US

IV. Provider business mailing address

100 N PACIFIC COAST HWY STE 1400
EL SEGUNDO CA
90245-5602
US

V. Phone/Fax

Practice location:
  • Phone: 651-627-4970
  • Fax: 855-568-2494
Mailing address:
  • Phone: 310-856-0800
  • Fax: 855-568-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89234
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: