Socal Behavioral Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13956 Issued in CA

Legal business name

SOCAL BEHAVIORAL SERVICES

Practice address

19520 Nordhoff St # 18a
Northridge, CA 91324-2428

Phone

(818) 439-1122

NPI assigned

Apr 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Romina Ilunga, BCBA

Title

Co-Owner

Phone

(818) 536-8943

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1942655196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19520 NORDHOFF ST # 18A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242428",
            "telephone_number": "818-439-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19520 NORDHOFF ST # 18A",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242428",
            "telephone_number": "818-439-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "ILUNGA",
        "authorized_official_first_name": "ROMINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-536-8943",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus David Sola, MFT
• Maria Cristina Solanet

• Behavior Analyst in Northridge, CA
• Providers in Northridge, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.