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Organization
BEAUTIFUL MINDS CENTER FOR AUTISM INC.
Active
Organization
BEAUTIFUL MINDS CENTER FOR AUTISM INC.
Active
Other names
The Beautiful Minds Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELLE IZRALSON BCBA (OWNER)
(310) 247-1836
Entity
Organization
Contact information
Practice address
7300 TAMPA AVE, RESEDA, CA 91335-2467
(310) 247-1836
Mailing address
7300 TAMPA AVE, RESEDA, CA 91335-2467
(310) 247-1836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA
1-10-7720
CA
Enumeration date
02/29/2012
Last updated
02/29/2012
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