NPI Code Details Logo

NPI 1437057114

NPI 1437057114 : BRIDGECARE BEHAVIORAL SERVICES, INC. : NORTHRIDGE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1437057114
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRIDGECARE BEHAVIORAL SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/30/2026
-----------------------------------------------------
    Last Update Date     |    11/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8300 TAMPA AVE STE G 
-----------------------------------------------------
    City                 |    NORTHRIDGE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91324-4275
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    562-972-9233
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8300 TAMPA AVE STE G 
-----------------------------------------------------
    City                 |    NORTHRIDGE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91324-4275
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     VARTHOUI  SOIBATIAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    562-972-9232
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.