| Ground Up Sports Llc | |
|
21021 Erwin St Apt 379 Woodland Hills CA 91367-3842 | |
| (323) 337-3000 | |
| Not Available |
| Full Name | Ground Up Sports Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 21021 Erwin St Apt 379, Woodland Hills, California |
| Authorized Official Name and Position | Ronnie Mcclain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3233373000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ground Up Sports Llc 6320 Topanga Canyon Blvd Ste 1630 Woodland Hills CA 91367-2299 Ph: (323) 337-3000 | Ground Up Sports Llc 21021 Erwin St Apt 379 Woodland Hills CA 91367-3842 Ph: (323) 337-3000 |
| NPI Number | 1760327811 |
|---|---|
| Provider Enumeration Date | 04/23/2026 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760327811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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