Luis Abreu

Individual provider Active NPI Behavior Analyst · Los Angeles, CA

NPI 1164062139 · NPPES record last updated Jan 8, 2020

Key facts

NPI
1164062139
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
Y4401657 (CA)
Practice address
972 Marietta St
Los Angeles, CA 90023-1404
Phone
(323) 519-8531
NPI assigned
Jan 8, 2020
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

State licenses

LicenseStateTypeSpecialty
Y4401657CAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Y4401657 CA Yes

Addresses

Primary practice location

972 Marietta St
Los Angeles, CA 90023-1404

Mailing address

21600 Oxnard St
Woodland Hills, CA 91367-4976

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.