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NPI Code Detail

MEDICARE: KARLI BROWNELL MED., BCBA

MEDICARE:   KARLI  BROWNELL  MED., 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 Analyst1-15-21074CA

General Provider Information

NPI Number : 1285092494
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLI BROWNELL MED., BCBA
Provider Business Mailing Address
First Line : 19019 VENTURA BLVD
Second Line :
City : TARZANA
State : CA
Zip : 91356-3253
Country : US
Telephone Number : 818-501-8352
Fax Number :
Provider Business Practice Location Address
First Line : 28212 KELLY JOHNSON PKWY STE 200
Second Line :
City : VALENCIA
State : CA
Zip : 91355-5090
Country : US
Telephone Number : 818-501-8352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2016
Last Update Date : 02/02/2016

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Directions to “ KARLI BROWNELL MED., BCBA” Practice Location

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