Provider Demographics
NPI:1306738877
Name:SOW BEHAVIOR THERAPY APPLIED BEHAVIOR ANALYSIS, P.C.
Entity type:Organization
Organization Name:SOW BEHAVIOR THERAPY APPLIED BEHAVIOR ANALYSIS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BGDOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LBA, BCBA
Authorized Official - Phone:818-452-3577
Mailing Address - Street 1:14545 FRIAR ST STE 101W
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2357
Mailing Address - Country:US
Mailing Address - Phone:818-452-3577
Mailing Address - Fax:
Practice Address - Street 1:14545 FRIAR ST STE 101W
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2357
Practice Address - Country:US
Practice Address - Phone:818-452-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty