Healthcare Provider Details

I. General information

NPI: 1700322369
Provider Name (Legal Business Name): LORI BARBARIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 S O ST
TULARE CA
93274-6534
US

IV. Provider business mailing address

4221 WILSHIRE BLVD STE 300A
LOS ANGELES CA
90010-3537
US

V. Phone/Fax

Practice location:
  • Phone: 626-684-3915
  • Fax:
Mailing address:
  • Phone: 888-428-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-16-24589
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: