Organization
BEAUTIFUL MINDS CENTER FOR AUTISM INC.
Active
Other names
The Beautiful Minds Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELLE IZRALSON BCBA (OWNER)
(310) 247-1836
Entity
Organization
Contact information
Practice address
7300 TAMPA AVE, RESEDA, CA 91335-2467
(310) 247-1836
Mailing address
7300 TAMPA AVE, RESEDA, CA 91335-2467
(310) 247-1836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBA
1-10-7720
CA
Enumeration date
02/29/2012
Last updated
02/29/2012
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