Organization
AGOURA NEUROFEEDBACK, INC.
Active
Other names
Awakenings
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI BETH STILLMAN-CORBITT (OWNER)
(310) 848-5418
Entity
Organization
Contact information
Practice address
28632 ROADSIDE DR STE 210, AGOURA HILLS, CA 91301-6091
(855) 717-3268
(805) 435-1540
Mailing address
28632 ROADSIDE DR STE 210, AGOURA HILLS, CA 91301-6091
(855) 717-3268
(805) 435-1540
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
12/14/2023
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