Provider Demographics
NPI:1871917013
Name:ALVIS, KAYLA (MS, BCBA)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:
Last Name:ALVIS
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 WALNUT ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1449
Mailing Address - Country:US
Mailing Address - Phone:618-246-8049
Mailing Address - Fax:
Practice Address - Street 1:1942 EMBARCADERO
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-5213
Practice Address - Country:US
Practice Address - Phone:510-693-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst