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Organization
ABA ETHICS
Active
Organization
ABA ETHICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVISHAI ZACHARIA M.A B.C.B.A (DIRECTOR)
(818) 605-7451
Entity
Organization
Contact information
Practice address
15315 MAGNOLIA BLVD STE 428, SHERMAN OAKS, CA 91403-1177
(818) 605-7451
Mailing address
15315 MAGNOLIA BLVD STE 428, SHERMAN OAKS, CA 91403-1177
(818) 605-7451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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