Provider Demographics
NPI:1386226090
Name:JAMES, HAILEY MATTES (BCBA)
Entity type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:MATTES
Last Name:JAMES
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:JEAN
Other - Last Name:MATTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:851 FREMONT AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:851 FREMONT AVE STE 110
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-5602
Practice Address - Country:US
Practice Address - Phone:650-492-6898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
OHBACB679483103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst