Organization
BEHAVIORAL INTERVENTIONS FOR CHILDREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D JACOBS PH.D. (CLINICAL DIRECTOR)
(718) 503-4551
Entity
Organization
Contact information
Practice address
5325 NEWCASTLE AVE, UNIT 312, ENCINO, CA 91316-3081
(718) 503-4551
Mailing address
16350 VENTURA BLVD STE D147, ENCINO, CA 91436-5300
(718) 503-4551
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
I-14-4740
CA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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