Advanced Pediatric Behavioral Health LLC
Organization Active NPI Community/Behavioral Health Agency · Porter Ranch, CA
NPI 1831748581 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1831748581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCED PEDIATRIC BEHAVIORAL HEALTH LLC
- Practice address
- 10442 Yolanda Ave
Porter Ranch, CA 91326-3440 - Phone
- (818) 606-3754
- NPI assigned
- Sep 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Angela Marie Russo, BCBA
- Title
- Clinical Director
- Phone
- (818) 646-9229
Practitioners 1
-
Angela Marie Russo, BCBA
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
10442 Yolanda Ave
Porter Ranch, CA 91326-3440
Mailing address
10442 Yolanda Ave
Porter Ranch, CA 91326-3440
Phone (818) 646-9229
Other providers in Porter Ranch, CA
- 1380 LLC
- Noor Abdelaaty
- Diab Abdulnour
- Sevana Anna Aboolian
- Above and Beyond Patient Care Services
- Ranjani Agrawal
- Shilpa Agrawal
- Nona Ahankoob
- Diana Aharonian
- Nara Han Ahn
All providers in Porter Ranch, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.