| The Beautiful Minds Center | |
|
7300 Tampa Ave Reseda CA 91335-2467 | |
| (310) 247-1836 | |
| Not Available |
| Full Name | The Beautiful Minds Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7300 Tampa Ave, Reseda, California |
| Authorized Official Name and Position | Gabrielle Izralson (OWNER) |
| Authorized Official Contact | 3102471836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Beautiful Minds Center 7300 Tampa Ave Reseda CA 91335-2467 Ph: (310) 247-1836 | The Beautiful Minds Center 7300 Tampa Ave Reseda CA 91335-2467 Ph: (310) 247-1836 |
| NPI Number | 1851665400 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851665400 | NPI | - | NPPES |
| BCBA | Other | CA | 1-10-7720 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Primary |
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