| Mcrory Pediatric Services, Inc. | |
|
17609 Ventura Blvd Ste 215 Encino CA 91316-5126 | |
| (818) 501-8352 | |
| Not Available |
| Full Name | Mcrory Pediatric Services, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17609 Ventura Blvd Ste 215, Encino, California |
| Authorized Official Name and Position | Nikki Mcrory (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8185018352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcrory Pediatric Services, Inc. 17609 Ventura Blvd Ste 215 Encino CA 91316-5126 Ph: () - | Mcrory Pediatric Services, Inc. 17609 Ventura Blvd Ste 215 Encino CA 91316-5126 Ph: (818) 501-8352 |
| NPI Number | 1659701118 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659701118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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