Selah Aliyah Bourne

Behavior Analyst · Mentone, CA

Individual Active NPI

NPI number 1205720331

Practice location

1356 Beryl Ave
Mentone, CA 92359-1206
Phone
(760) 881-8369

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NPI record

NPI
1205720331
Entity type
Individual (Type 1)
Enumeration date
June 4, 2025
Last updated
June 4, 2025
Certified
June 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Selah Bourne

Selah Aliyah Bourne is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1356 Beryl Ave, Mentone, CA 92359-1206. The NPI number 1205720331 was assigned on June 4, 2025 and the record was last updated on June 4, 2025.

Frequently asked questions

What is the NPI number of Selah Aliyah Bourne?

The NPI number is 1205720331.

What is the phone number of Selah Bourne?

The phone number listed for the practice location is (760) 881-8369.

Where is Selah Bourne located?

1356 Beryl Ave, Mentone, CA 92359-1206.

What is the taxonomy code for Selah Bourne?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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