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NPI Code Detail

MEDICARE: ARIELLA KLEINSMITH MS, BCBA

MEDICARE: ARIELLA KLEINSMITH MS, BCBA
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
1103K00000XBehavior Analyst1-23-65845CA

General Provider Information

NPI Number : 1851084560
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLA KLEINSMITH MS, BCBA
Provider Business Mailing Address
First Line : 501 MARIN ST STE 225
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-4301
Country : US
Telephone Number : 818-297-2212
Fax Number : 805-379-1491
Provider Business Practice Location Address
First Line : 501 MARIN ST STE 225
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-4301
Country : US
Telephone Number : 818-297-2212
Fax Number : 805-379-1491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 05/30/2023

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