Healthcare Provider Details
I. General information
NPI: 1548181845
Provider Name (Legal Business Name): FLOURISH BEHAVIORAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
373 CORTA ST
OJAI CA
93023-3828
US
IV. Provider business mailing address
500 N BRAND BLVD STE 890
GLENDALE CA
91203-3398
US
V. Phone/Fax
- Phone: 805-415-3520
- Fax:
- Phone: 805-415-3520
- 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 | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JORDAN
MCGRAW-KILBURN
Title or Position: BEHAVIOR ANALYST
Credential: BCBA
Phone: 805-415-3520