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Organization
MCRORY PEDIATRIC SERVICES
Active
Organization
MCRORY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER LIANE BEDRE BCBA (ABA PROGRAM THERAPY SUPERVISOR)
(818) 635-2250
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD, SUITE # 215, ENCINO, CA 91316-3858
(818) 501-8352
(818) 501-8325
Mailing address
17609 VENTURA BLVD, SUITE # 215, ENCINO, CA 91316-3858
(818) 501-8352
(818) 501-8325
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8354
CA
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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