MEDICARE: LARK BEHAVIOR GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	103T00000X	Psychologist
4	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1629884960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARK BEHAVIOR GROUP LLC

Provider Business Mailing Address
First Line	:	18200 RINALDI PL
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2551
Country	:	US
Telephone Number	:	818-916-0295
Fax Number	:	818-724-7704

Provider Business Practice Location Address
First Line	:	18200 RINALDI PL
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2551
Country	:	US
Telephone Number	:	818-916-0295
Fax Number	:	818-724-7704

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	MR. STEVEN BOGHOSKHAN
Credential	:
Telephone Number	:	818-813-1803

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	02/27/2026

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Directions to “LARK BEHAVIOR GROUP LLC ” Practice Location

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