Julia Kluchnikov

Individual provider Active NPI Behavior Analyst · Encino, CA

NPI 1386096949 · NPPES record last updated Jul 7, 2016

Key facts

NPI
1386096949
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
16500 Ventura Blvd
414
Encino, CA 91436-2011
Phone
(818) 788-1003
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
Yes

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 Analyst 103K00000X Yes

Addresses

Primary practice location

16500 Ventura Blvd
414
Encino, CA 91436-2011

Mailing address

16500 Ventura Blvd
414
Encino, CA 91436-2011
Phone (818) 788-1003

Other providers in Encino, CA

All providers in Encino, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.