Provider Demographics
NPI:1285970590
Name:STRATE, GINA N (BCBA)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:N
Last Name:STRATE
Suffix:
Gender:F
Credentials:BCBA
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Mailing Address - Street 1:21600 OXNARD ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4976
Mailing Address - Country:US
Mailing Address - Phone:818-345-2345
Mailing Address - Fax:818-449-0994
Practice Address - Street 1:11606 SOUTHFORK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5235
Practice Address - Country:US
Practice Address - Phone:225-292-5981
Practice Address - Fax:225-612-6632
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2016-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA008610961222Q00000X
LAL-139103K00000X
LA1-13-13706103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist