Organization
CHILDREN'S DEVELOPMENTAL MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN GHOLIZADEH (EXECUTIVE DIRECTOR)
(818) 203-5067
Entity
Organization
Contact information
Practice address
21241 VENTURA BLVD, SUITE 187, WOODLAND HILLS, CA 91364-2108
(818) 203-5063
Mailing address
21241 VENTURA BLVD, SUITE 187, WOODLAND HILLS, CA 91364-2108
(818) 203-5063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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