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Organization
PLATINUM BEHAVIORAL MANAGEMENT
Active
Organization
PLATINUM BEHAVIORAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MICHELLE BENJAMIN BCBA (CO OWNER)
(661) 992-3610
Entity
Organization
Contact information
Practice address
18003 FLYNN DR, UNIT 542, CANYON COUNTRY, CA 91387-4919
(661) 992-3610
Mailing address
18003 FLYNN DR, UNIT 542, CANYON COUNTRY, CA 91387-4919
(661) 992-3610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-11854
CA
252Y00000X
Early Intervention Provider Agency
1-12-11854
CA
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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