Healthcare Provider Details

I. General information

NPI: 1689592974
Provider Name (Legal Business Name): THREE BRANCHES DEVELOPMENTAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15624 CARROUSEL DR
CANYON COUNTRY CA
91387-4435
US

IV. Provider business mailing address

15624 CARROUSEL DR
CANYON COUNTRY CA
91387-4435
US

V. Phone/Fax

Practice location:
  • Phone: 818-359-9423
  • Fax:
Mailing address:
  • Phone: 818-359-9423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARINE DONOYAN
Title or Position: COO
Credential: MS BCBA
Phone: 818-359-9423