MEDICARE: MYHHBS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	1-15-18014	CA
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1215300470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYHHBS INC.

Provider Business Mailing Address
First Line	:	237 N CENTRAL AVE STE A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3526
Country	:	US
Telephone Number	:	888-969-4427
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 N CENTRAL AVE STE A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3526
Country	:	US
Telephone Number	:	888-969-4427
Fax Number	:	661-360-6301

Authorized Official
Title or Position	:	CFO
Name	:	KHRIST KAKOSIMIDI
Credential	:
Telephone Number	:	888-969-4427

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	09/10/2025

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Directions to “MYHHBS INC. ” Practice Location

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