| Child Counseling & Behavior Therapy Clinic | |
|
15720 Ventura Blvd Suite 403 Encino CA 91436-2914 | |
| (818) 788-2388 | |
| (818) 788-3875 |
| Full Name | Child Counseling & Behavior Therapy Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Wayne Edward Tashjian (DIRECTOR) |
| Authorized Official Contact | 8187882388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Counseling & Behavior Therapy Clinic 15720 Ventura Blvd Suite 403 Encino CA 91436-2914 Ph: (818) 788-2388 | Child Counseling & Behavior Therapy Clinic 15720 Ventura Blvd Suite 403 Encino CA 91436-2914 Ph: (818) 788-2388 |
| NPI Number | 1710233705 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710233705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BCBA # 1-10-7653 (California) | Secondary |
| 251S00000X | Community/behavioral Health | MFC30490 (California) | Primary |
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