| Magnolia Clinical Services | |
|
5656 Cantaloupe Ave Van Nuys CA 91401-4712 | |
| (818) 489-0846 | |
| Not Available |
| Full Name | Magnolia Clinical Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5656 Cantaloupe Ave, Van Nuys, California |
| Authorized Official Name and Position | Elizabeth Hughes (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8184890866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Clinical Services 5656 Cantaloupe Ave Van Nuys CA 91401-4712 Ph: (818) 489-0846 | Magnolia Clinical Services 5656 Cantaloupe Ave Van Nuys CA 91401-4712 Ph: (818) 489-0846 |
| NPI Number | 1003307414 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003307414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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