| 360 Behavioral Health | |
|
16380 Roscoe Blvd Ste 100 Van Nuys CA 91406-1221 | |
| (818) 401-0661 | |
| Not Available |
| Full Name | 360 Behavioral Health |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16380 Roscoe Blvd Ste 100, Van Nuys, California |
| Authorized Official Name and Position | Kate Sheldon Princi (CEO) |
| Authorized Official Contact | 8057142675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Behavioral Health 16380 Roscoe Blvd Ste 100 Van Nuys CA 91406-1221 Ph: (818) 401-0661 | 360 Behavioral Health 16380 Roscoe Blvd Ste 100 Van Nuys CA 91406-1221 Ph: (818) 401-0661 |
| NPI Number | 1811289150 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811289150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1095010 (California) | Primary |
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