| Prism Healthcare | |
|
21600 Oxnard St Ste 200 Woodland Hills CA 91367-4971 | |
| (877) 206-1009 | |
| (818) 457-4617 |
| Full Name | Prism Healthcare |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21600 Oxnard St Ste 200, Woodland Hills, California |
| Authorized Official Name and Position | Lusine Gabrielyan (PRESIDENT/CEO) |
| Authorized Official Contact | 8182981128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Healthcare 21600 Oxnard St Ste 200 Woodland Hills CA 91367-4971 Ph: (877) 206-1009 | Prism Healthcare 21600 Oxnard St Ste 200 Woodland Hills CA 91367-4971 Ph: (877) 206-1009 |
| NPI Number | 1568839066 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568839066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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