Healthcare Provider Details

I. General information

NPI: 1215300470
Provider Name (Legal Business Name): MYHHBS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2015
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 N CENTRAL AVE STE A
GLENDALE CA
91203-3526
US

IV. Provider business mailing address

237 N CENTRAL AVE STE A
GLENDALE CA
91203-3526
US

V. Phone/Fax

Practice location:
  • Phone: 888-969-4427
  • Fax: 661-360-6301
Mailing address:
  • Phone: 888-969-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1-15-18014
License Number StateCA

VIII. Authorized Official

Name: KHRIST KAKOSIMIDI
Title or Position: CFO
Credential:
Phone: 888-969-4427