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Individual

ARLENE LEBRILLA BERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
17203 VENTURA BLVD, SUITE 3, ENCINO, CA 91316-4051
(818) 501-3615
(818) 501-3649
Mailing address
17203 VENTURA BLVD, SUITE 3, ENCINO, CA 91316-4051
(818) 501-3615
(818) 501-3649

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7088
CA
235Z00000X
Speech-Language Pathologist
Primary
17391
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12208960
CAQH
Enumeration date
03/22/2012
Last updated
11/22/2022
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