Provider Demographics
NPI:1366901597
Name:PINEDA ALVAREZ, NANCY YOSELYN (MS, BCBA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:YOSELYN
Last Name:PINEDA ALVAREZ
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:YOSELYN
Other - Last Name:PINEDA SALAZAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:41769 11TH ST W STE A
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1418
Mailing Address - Country:US
Mailing Address - Phone:661-947-9554
Mailing Address - Fax:
Practice Address - Street 1:1216 W AVENUE J STE 100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2944
Practice Address - Country:US
Practice Address - Phone:818-235-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-22-60698103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst