| Building Successful Transitions | |
|
12810 Arminta St North Hollywood CA 91605-2018 | |
| (818) 761-6617 | |
| (818) 761-6617 |
| Full Name | Building Successful Transitions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12810 Arminta St, North Hollywood, California |
| Authorized Official Name and Position | Mary M Fallie (PRESIDENT/CEO) |
| Authorized Official Contact | 8187616617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Successful Transitions 12810 Arminta St North Hollywood CA 91605-2018 Ph: (818) 761-6617 | Building Successful Transitions 12810 Arminta St North Hollywood CA 91605-2018 Ph: (818) 761-6617 |
| NPI Number | 1326393687 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326393687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | PSB 33492 (California) | Primary |
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