Organization
ALIVE EDUCATION MANAGEMENT AND SERVICES
Active
Other names
ALIVE EDUCATION MANAGEMENT AND SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON NICOLE STANFORD ED.D, BCBA (CEO, CLINICAL DIRECTOR)
(818) 795-5206
Entity
Organization
Contact information
Practice address
152 S LASKY DR STE 208, BEVERLY HILLS, CA 90212-1716
(818) 795-5206
Mailing address
14622 VENTURA BLVD STE 2175, SHERMAN OAKS, CA 91403-3600
(818) 795-5206
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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