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Organization
MAYA BORNA INC
Active
Organization
MAYA BORNA INC
Active
Other names
Therapy Lounge Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA BORNA (CEO)
(310) 857-8497
Entity
Organization
Contact information
Practice address
1133 CRENSHAW BLVD, LOS ANGELES, CA 90019-3112
(310) 553-2695
(310) 553-6718
Mailing address
PO BOX 69217, WEST HOLLYWOOD, CA 90069-0217
(310) 857-8497
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
11/18/2025
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