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Organization
SOCAL BEHAVIORAL SERVICES
Active
Organization
SOCAL BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROMINA ILUNGA BCBA (CO-OWNER)
(818) 536-8943
Entity
Organization
Contact information
Practice address
19520 NORDHOFF ST # 18A, NORTHRIDGE, CA 91324-2428
(818) 439-1122
Mailing address
19520 NORDHOFF ST # 18A, NORTHRIDGE, CA 91324-2428
(818) 439-1122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13956
CA
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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