Organization
INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA VENEGAS M.A., B.C.B.A. (CASE MANAGER)
(818) 881-1933
Entity
Organization
Contact information
Practice address
19510 VENTURA BLVD, SUITE 204, TARZANA, CA 91356-2969
(818) 881-1933
Mailing address
19510 VENTURA BLVD, SUITE 204, TARZANA, CA 91356-2969
(818) 881-1933
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1-12-12538
CA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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