Healthcare Provider Details

I. General information

NPI: 1972841765
Provider Name (Legal Business Name): APPLIED BEHAVIOR & LEARNING ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 HAYVENHURST AVE SUITE 401
VAN NUYS CA
91406-3843
US

IV. Provider business mailing address

7120 HAYVENHURST AVE SUITE 401
VAN NUYS CA
91406-3843
US

V. Phone/Fax

Practice location:
  • Phone: 818-909-2253
  • Fax:
Mailing address:
  • Phone: 818-909-2253
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: LEAH JIMENEZ
Title or Position: DIRECTOR OF OPERATIONS/OWNER
Credential:
Phone: 818-909-2253