| Association Of Behavioral Health Specialists | |
|
6454 Van Nuys Blvd Suite 111 Van Nuys CA 91401-1445 | |
| (818) 336-6441 | |
| (818) 336-6441 |
| Full Name | Association Of Behavioral Health Specialists |
|---|---|
| Speciality | Psychologist |
| Location | 6454 Van Nuys Blvd, Van Nuys, California |
| Authorized Official Name and Position | Jose Corena (OWNER) |
| Authorized Official Contact | 8183366441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Association Of Behavioral Health Specialists 6454 Van Nuys Blvd Suite 111 Van Nuys CA 91401-1445 Ph: (818) 336-6441 | Association Of Behavioral Health Specialists 6454 Van Nuys Blvd Suite 111 Van Nuys CA 91401-1445 Ph: (818) 336-6441 |
| NPI Number | 1306132790 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Medicare PECOS PAC ID | 3678745684 |
|---|---|
| Medicare Enrollment ID | O20111018000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306132790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 21815 (California) | Primary |
| Provider Name | Jose E Corena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659557965 PECOS PAC ID: 5294897732 Enrollment ID: I20081217000681 |
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