| Mind Thrive Center Llc | |
|
9010 Corbin Ave Ste 11 Northridge CA 91324-3372 | |
| (747) 444-7731 | |
| Not Available |
| Full Name | Mind Thrive Center Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9010 Corbin Ave Ste 11, Northridge, California |
| Authorized Official Name and Position | Cheryl M Umali (DIRECTOR/FOUNDER) |
| Authorized Official Contact | 7474447731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Thrive Center Llc 9010 Corbin Ave Ste 11 Northridge CA 91324-3372 Ph: (747) 444-7731 | Mind Thrive Center Llc 9010 Corbin Ave Ste 11 Northridge CA 91324-3372 Ph: (747) 444-7731 |
| NPI Number | 1740888650 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740888650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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