Provider Demographics
NPI:1386121499
Name:BAHAVIORAL SPECTRUM SOLUTIONS
Entity type:Organization
Organization Name:BAHAVIORAL SPECTRUM SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-997-2816
Mailing Address - Street 1:7251 OWENSMOUTH AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3962
Mailing Address - Country:US
Mailing Address - Phone:818-997-2816
Mailing Address - Fax:
Practice Address - Street 1:7251 OWENSMOUTH AVE STE 6
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3962
Practice Address - Country:US
Practice Address - Phone:818-997-2816
Practice Address - Fax:818-997-2819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty