Healthcare Provider Details

I. General information

NPI: 1487209961
Provider Name (Legal Business Name): SYMPHONY BEHAVIORAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25350 MAGIC MOUNTAIN PKWY STE 300
VALENCIA CA
91355-1356
US

IV. Provider business mailing address

25350 MAGIC MOUNTAIN PKWY STE 300
VALENCIA CA
91355-1356
US

V. Phone/Fax

Practice location:
  • Phone: 661-220-0879
  • Fax: 661-347-9002
Mailing address:
  • Phone: 661-220-0879
  • 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: PAULINE TOLENTINO PABLO
Title or Position: EXECUTIVE CLINICAL DIRECTOR
Credential: MA, BCBA
Phone: 661-220-0879