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NPI Code Detail

MEDICARE: MRS. MARIELA FELDMAN M.S., BCBA

MEDICARE: MRS. MARIELA FELDMAN M.S., BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-02-0942CA

General Provider Information

NPI Number : 1033482245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIELA FELDMAN M.S., BCBA
Provider Business Mailing Address
First Line : 7226 SEPULVEDA BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2003
Country : US
Telephone Number : 818-235-1414
Fax Number : 818-235-1418
Provider Business Practice Location Address
First Line : 7226 SEPULVEDA BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2003
Country : US
Telephone Number : 818-235-1414
Fax Number : 818-235-1418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2012
Last Update Date : 02/14/2020

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