| Beyond Brighter Minds Inc | |
|
22254 Schoolcraft St Canoga Park CA 91303-2348 | |
| (323) 627-9040 | |
| Not Available |
| Full Name | Beyond Brighter Minds Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22254 Schoolcraft St, Canoga Park, California |
| Authorized Official Name and Position | Lisa Setiadi Ginsburg (CO-DIRECTOR) |
| Authorized Official Contact | 3236279040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Brighter Minds Inc 22254 Schoolcraft St Canoga Park CA 91303-2348 Ph: (323) 627-9040 | Beyond Brighter Minds Inc 22254 Schoolcraft St Canoga Park CA 91303-2348 Ph: (323) 627-9040 |
| NPI Number | 1689326530 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689326530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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