Bryan C Albisurez

Individual provider Active NPI Behavior Technician · Sherman Oaks, CA

NPI 1114704384 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1114704384
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231
Phone
(877) 418-2978
NPI assigned
Sep 12, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Yes

Addresses

Primary practice location

15233 Ventura Blvd Ste 500
Sherman Oaks, CA 91403-2231

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978

Other providers in Sherman Oaks, CA

All providers in Sherman Oaks, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.