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Organization
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Active
Organization
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY GREEN (ICS SUPERVISOR)
(510) 569-8811
Entity
Organization
Contact information
Practice address
19510 VENTURA BLVD, TARZANA, CA 91356-2969
(818) 881-1933
(818) 881-1935
Mailing address
4208 WILSHIRE BLVD, OAKLAND, CA 94602-3550
(510) 220-2593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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