NPI 1366940686 · live from the CMS NPI Registry
Alice Naomi Blaj, BCBA
Behavior Analyst in Fulton, CA. National Provider Identifier 1366940686, active.
NPI record
| NPI | 1366940686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | Po Box 104, Fulton, CA 95439 |
| Practice phone | 707-303-6266 |
| Mailing address | 2468 Sw 26th St, Redmond, OR 97756 |
| Enumerated | February 1, 2018 |
| Last updated | June 30, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | ABA-B-10257675 (OR) |
| Behavior Technician | 106S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.