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Organization
LA RAIZ BEHAVIORAL SOLUTIONS
Active
Organization
LA RAIZ BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RIOS BCBA (OWNER)
(818) 749-2263
Entity
Organization
Contact information
Practice address
5239 HARMONY AVE APT 306, N HOLLYWOOD, CA 91601-5536
(818) 749-2263
Mailing address
1812 W BURBANK BLVD # 7003, BURBANK, CA 91506-1315
(818) 749-2263
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124584602
—
CA
Enumeration date
05/09/2022
Last updated
05/17/2022
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