Healthcare Provider Details
I. General information
NPI: 1447199377
Provider Name (Legal Business Name): MY 2 B'S, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30315 CANWOOD ST
AGOURA HILLS CA
91301-4319
US
IV. Provider business mailing address
30315 CANWOOD ST
AGOURA HILLS CA
91301-4319
US
V. Phone/Fax
- Phone: 818-991-5437
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANA
AGHASSI
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-991-5437