Organization
BEHAVIORAL INTERVENTION SPECIALISTS OF LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYAL GOLAN (CFO)
(800) 258-0659
Entity
Organization
Contact information
Practice address
11022 SANTA MONICA BLVD, SUITE 120, LOS ANGELES, CA 90025-7513
(800) 258-0659
(310) 694-3062
Mailing address
11022 SANTA MONICA BLVD, SUITE 120, LOS ANGELES, CA 90025-7513
(800) 258-0659
(310) 694-3062
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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