Healthcare Provider Details

I. General information

NPI: 1730594946
Provider Name (Legal Business Name): LAURA VARGAS BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 DEEP VALLEY DR.
ROLLING HILLS ESTATES CA
90274
US

IV. Provider business mailing address

609 DEEP VALLEY DR.
ROLLING HILLS ESTATES CA
90274
US

V. Phone/Fax

Practice location:
  • Phone: 310-606-1349
  • Fax:
Mailing address:
  • Phone: 310-606-1349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-15186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: