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NPI Code Detail

MEDICARE: MRS. BAILEY PIETILA ALATORRE BCBA

MEDICARE:  MRS. BAILEY PIETILA ALATORRE  BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst0-19-10598CA
2106S00000XBehavior Technician
3103K00000XBehavior Analyst1-24-73049CA

General Provider Information

NPI Number : 1518474717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BAILEY PIETILA ALATORRE BCBA
Provider Business Mailing Address
First Line : 3110 CAMINO DEL RIO S STE 307
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2820 CAMINO DEL RIO S STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3822
Country : US
Telephone Number : 615-549-6608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 05/17/2024

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Directions to “ MRS. BAILEY PIETILA ALATORRE BCBA” Practice Location

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