CHILD COUNSELING & BEHAVIOR THERAPY CLINIC NPI 1710233705

NPI Details

CHILD COUNSELING & BEHAVIOR THERAPY CLINIC is a community behavioral health in Encino, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHILD COUNSELING & BEHAVIOR THERAPY CLINIC NPI is 1710233705. The provider is registered as an organization entity type.
The provider Is Doing Business As Behavior Therapy Clinic.

The provider's business location address is:

15720 VENTURA BLVD
SUITE 403
ENCINO, CA
ZIP 91436-914
Phone: (818) 788-2388
Fax: (818) 788-3875

The provider's authorized official is Wayne Edward Tashjian .
The authorized official title is Director and has the following contact phone number (818) 788-2388.

The enumeration date for this NPI number is 7/27/2012 and was last updated on 11/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: