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Organization
HALO BEHAVIORAL HEALTH
Active
Organization
HALO BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN MICHELLE ST. CLAIR BCBA (CLINICAL DIRECTOR / CO-FOUNDER)
(818) 856-0143
Entity
Organization
Contact information
Practice address
5439 HERMITAGE AVE, UNIT 101, VALLEY VILLAGE, CA 91607-4355
(818) 856-0143
Mailing address
5439 HERMITAGE AVE, UNIT 101, VALLEY VILLAGE, CA 91607-4355
(818) 856-0143
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17867
CA
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
—
—
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265822480
NPI TYPE 1
CA
Enumeration date
03/07/2017
Last updated
03/07/2017
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