| Vista Center For Behavior Analysis | |
|
23030 Lyons Ave Ste 102 Newhall CA 91321-2755 | |
| (661) 425-7066 | |
| (805) 299-4505 |
| Full Name | Vista Center For Behavior Analysis |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23030 Lyons Ave Ste 102, Newhall, California |
| Authorized Official Name and Position | H. Keith Massel (PRESIDENT) |
| Authorized Official Contact | 6614257066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Center For Behavior Analysis 3905 State St Ste 7-276 Santa Barbara CA 93105-3138 Ph: (805) 689-6610 | Vista Center For Behavior Analysis 23030 Lyons Ave Ste 102 Newhall CA 91321-2755 Ph: (661) 425-7066 |
| NPI Number | 1619235710 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619235710 | NPI | - | NPPES |
| PSY11229 | Other | CA | PSYCHOLOGIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | PSY11229 (California) | Primary |
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