Organization
BALLSBRIDGE ACADEMY INC BEHAVIOR AND EDUCATION CENTER
Active
Organization
BALLSBRIDGE ACADEMY INC BEHAVIOR AND EDUCATION CENTER
Active
Other names
Ballsbridge Behavior and Consultation Services, Ballsbridge Behavior and Consultation Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIA BROBERG MS, BCBA 1-05-2148 (OWNER, PRESIDENT, CEO)
(844) 427-8834
Entity
Organization
Contact information
Practice address
1031 ALPINE VILLA DR, ALTADENA, CA 91001-1404
(888) 740-8893
Mailing address
PO BOX 628, LA CANADA, CA 91012-0628
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3831490
CA
Other
Enumeration date
12/08/2015
Last updated
09/16/2020
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