Individual
BAILEY BORUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
844 PICO BLVD, SANTA MONICA, CA 90405-1325
(310) 314-6200
Mailing address
139 MACADEMIA LN, SIMI VALLEY, CA 93065-6914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
105149
CA
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2018
Last updated
09/16/2025
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