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Organization
VISTA PSYCHOLOGICAL CENTER INC
Active
Organization
VISTA PSYCHOLOGICAL CENTER INC
Active
Other names
Vista Center for Behavior Analysis
Organization subpart
No
Provider details
NPI number
Authorized official
H. KEITH MASSEL PH.D., BCBA (PRESIDENT)
(661) 425-7066
Entity
Organization
Contact information
Practice address
23030 LYONS AVE STE 102, NEWHALL, CA 91321-2755
(661) 425-7066
(805) 299-4505
Mailing address
3905 STATE ST STE 7-276, SANTA BARBARA, CA 93105-3138
(805) 689-6610
(805) 299-4050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
PSY11229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY11229
PSYCHOLOGIST LICENSE
CA
Enumeration date
04/26/2012
Last updated
05/06/2020
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