Provider Demographics
NPI:1285494583
Name:L&L BEHAVIORAL AND PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:L&L BEHAVIORAL AND PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:VASILJKA
Authorized Official - Last Name:RIMASSA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:985-789-1245
Mailing Address - Street 1:15005 KILLION ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3641
Mailing Address - Country:US
Mailing Address - Phone:818-259-5871
Mailing Address - Fax:
Practice Address - Street 1:414 W TEAGUE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6072
Practice Address - Country:US
Practice Address - Phone:985-789-1245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty