Organization
MY SHADOW
Active
Other names
DBA
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA PARSAKIA MA, BCBA (OWNER/SUPERVISOR/BCBA)
(310) 721-2101
Entity
Organization
Contact information
Practice address
11301 W OLYMPIC BLVD, SUITE 300, LOS ANGELES, CA 90064-1653
(310) 721-2101
Mailing address
11301 W OLYMPIC BLVD, SUITE 300, LOS ANGELES, CA 90064-1653
(310) 721-2101
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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