Healthcare Provider Details

I. General information

NPI: 1497091045
Provider Name (Legal Business Name): LEARNING DYNAMICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22837 VENTURA BLVD
WOODLAND HILLS CA
91364-1224
US

IV. Provider business mailing address

22837 VENTURA BLVD SUITE 200
WOODLAND HILLS CA
91364-1224
US

V. Phone/Fax

Practice location:
  • Phone: 310-855-3276
  • Fax: 310-393-9893
Mailing address:
  • Phone: 310-855-3276
  • Fax: 310-393-9893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential: PSY.D.
Phone: 310-855-3276