Healthcare Provider Details
I. General information
NPI: 1891305025
Provider Name (Legal Business Name): OHANA BEHAVIORAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2020
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9901 PARAMOUNT BLVD STE 222
DOWNEY CA
90240-3853
US
IV. Provider business mailing address
9901 PARAMOUNT BLVD STE 222
DOWNEY CA
90240-3853
US
V. Phone/Fax
- Phone: 562-454-7998
- Fax: 562-222-3054
- Phone: 562-454-7998
- Fax: 562-222-3054
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
ALMA
ANGELICA
PEREZ
Title or Position: OWNER/CLINICIAN
Credential: BCBA
Phone: 562-454-7998