| Prism Behavioral Therapy | |
|
21600 Oxnard St Ste 1030 Woodland Hills CA 91367-5085 | |
| (818) 573-6822 | |
| Not Available |
| Full Name | Prism Behavioral Therapy |
|---|---|
| Speciality | Behavior Technician |
| Location | 21600 Oxnard St Ste 1030, Woodland Hills, California |
| Authorized Official Name and Position | Maya Daeja Holley (BEHAVIORAL THERAPIST) |
| Authorized Official Contact | 9098020618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Behavioral Therapy 21600 Oxnard St Ste 1030 Woodland Hills CA 91367-5085 Ph: (877) 206-1009 | Prism Behavioral Therapy 21600 Oxnard St Ste 1030 Woodland Hills CA 91367-5085 Ph: (818) 573-6822 |
| NPI Number | 1396331104 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396331104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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