| NPI | 1710233705 |
|---|---|
| Doing Business As | BEHAVIOR THERAPY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WAYNE EDWARD TASHJIAN Director 818-788-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA MFC30490) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA BCBA # 1-10-7653) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-11-01 |