| Koris Behavioral Centers, Inc. | |
|
452 S. California Ave #7 Glendale CA 91203 | |
| (818) 939-2471 | |
| Not Available |
| Full Name | Koris Behavioral Centers, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 452 S. California Ave, Glendale, California |
| Authorized Official Name and Position | Shahen Khodabakhian (OWNER) |
| Authorized Official Contact | 8184159222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koris Behavioral Centers, Inc. 452 S. California Ave #7 Glendale CA 91203 Ph: () - | Koris Behavioral Centers, Inc. 452 S. California Ave #7 Glendale CA 91203 Ph: (818) 939-2471 |
| NPI Number | 1205574936 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205574936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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