Healthcare Provider Details
I. General information
NPI: 1831950153
Provider Name (Legal Business Name): ACLAN BEHAVIORAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2024
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6345 BALBOA BLVD STE 163
ENCINO CA
91316-5236
US
IV. Provider business mailing address
6345 BALBOA BLVD STE 163
ENCINO CA
91316-5236
US
V. Phone/Fax
- Phone: 818-620-6452
- Fax:
- Phone: 818-620-6452
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGAN
ACLAN
Title or Position: OWNER
Credential:
Phone: 818-620-6452