MEDICARE: HALLIE W PALOMARES 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
1	103K00000X	Behavior Analyst	1-13-14967

General Provider Information

NPI Number	:	1639509243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE W PALOMARES BCBA

Provider Business Mailing Address
First Line	:	3969 MONSERATE TER
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-9495
Country	:	US
Telephone Number	:	949-603-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 N WANDA RD STE 130
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92867-5343
Country	:	US
Telephone Number	:	949-603-5710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2013
Last Update Date	:	01/16/2026

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