# BEHAVIOR DIAGNOSTICS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073116851
- **Authorized official:** GINA CHANG (CEO)
- **Authorized official phone:** (818) 241-6780

## Contact information

- **Practice address:** 9850 WESTPOINT DR STE 650, INDIANAPOLIS, IN 46256-3380
- **Practice address phone:** (818) 241-6678
- **Practice address fax:** (818) 241-6853
- **Mailing address:** 1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
- **Mailing address phone:** (818) 241-6780
- **Mailing address fax:** (818) 241-6853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/16/2020
