Healthcare Provider Details

I. General information

NPI: 1265302079
Provider Name (Legal Business Name): LEARNING TREE PROACTIVE THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 SIERRA CT STE 337
PALMDALE CA
93550-7619
US

IV. Provider business mailing address

190 SIERRA CT STE 337
PALMDALE CA
93550-7619
US

V. Phone/Fax

Practice location:
  • Phone: 661-445-3808
  • Fax:
Mailing address:
  • Phone: 661-445-3808
  • 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 Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ABBI DIANE CHABLE
Title or Position: CEO
Credential: BCBA
Phone: 661-445-3808