Healthcare Provider Details

I. General information

NPI: 1518352186
Provider Name (Legal Business Name): QUALITY BEHAVIOR SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SHERMAN WAY STE 105
VAN NUYS CA
91406-3876
US

IV. Provider business mailing address

16600 SHERMAN WAY STE 105
VAN NUYS CA
91406-3876
US

V. Phone/Fax

Practice location:
  • Phone: 818-991-7722
  • Fax: 818-991-7722
Mailing address:
  • Phone: 818-991-7722
  • Fax: 818-991-7722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1-14-15204
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1-14-15204
License Number StateCA

VIII. Authorized Official

Name: ROSA OFELIA HERNANDEZ
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 818-359-0244