| Socal Behavioral Services | |
|
19520 Nordhoff St # 18a Northridge CA 91324-2428 | |
| (818) 439-1122 | |
| Not Available |
| Full Name | Socal Behavioral Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 19520 Nordhoff St # 18a, Northridge, California |
| Authorized Official Name and Position | Romina Ilunga (CO-OWNER) |
| Authorized Official Contact | 8185368943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Behavioral Services 19520 Nordhoff St # 18a Northridge CA 91324-2428 Ph: (818) 439-1122 | Socal Behavioral Services 19520 Nordhoff St # 18a Northridge CA 91324-2428 Ph: (818) 439-1122 |
| NPI Number | 1942655196 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942655196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-13-13956 (California) | Primary |
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